Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Exc Lesion Palate Uvula W/O Closure
Low
$5
Average
$4.6k
Median
$3.3k
High
$42.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
853 hospitals; the 90th percentile is 33.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,134 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 12 | $7.4k | $13.5k | $8.4k | 62% | 17–170 | $1.6k – $23.3k |
| 2 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $5.5k | $9.6k | $7.5k | 78% | 9–90 | $5.0k – $23.5k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $7.1k | $7.2k | $3.3k | 46% | 8–80 | $2.7k – $14.0k |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $2.0k | $1.9k | $322 | 17% | 4–40 | $1.3k – $2.2k |
| 5 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $3.1k | $2.8k | $617 | 22% | 4–40 | $1.7k – $3.1k |
| 6 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $11.2k | $14.1k | $5.5k | 39% | 4–40 | $10.6k – $23.5k |
| 7 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $3.5k | $3.4k | $574 | 17% | 3–30 | $2.5k – $4.0k |
| 8 | Brigham and Women's Hospital Boston, MA other · outpatient | 2 | $2.6k | $2.6k | — | — | 2–20 | $2.6k – $2.6k |
| 9 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 2–20 | $5.5k – $5.5k |
| 10 | Mayo Clinic Rochester, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6.7k | $6.7k | $863 | 13% | 2–20 | $5.8k – $7.6k |
| 11 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $3.0k | $3.0k | — | — | 2–20 | $3.0k – $3.0k |
| 12 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $2.7k | $2.7k | — | — | 2–20 | $2.7k – $2.7k |
| 13 | Boston Medical Center Boston, MA fee schedule · both | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 14 | Manhattan Surgical Hospital LLC Manhattan, KS facility · fee schedule · both | 1 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 15 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 16 | Mayo Clinic Rochester, MN facility · case rate · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 17 | Mayo Clinic Rochester, MN facility · other · outpatient | 3 | $4.0k | $4.0k | $50 | 1% | 1–10 | $3.9k – $4.0k |
| 18 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 19 | Mayo Clinic Florida Jacksonville, FL facility · fee schedule · outpatient | 4 | $13.6k | $13.3k | $544 | 4% | 1–10 | $12.2k – $13.6k |
| 20 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 3 | $3.3k | $2.3k | $1.6k | 68% | 1–10 | $109 – $3.6k |
| 21 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 22 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 23 | The University of Texas Medical Branch Webster, TX fee schedule · inpatient | 5 | $63 | $70 | $14 | 21% | 1–10 | $61 – $99 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $425 | $425 | $22 | 5% | — | $403 – $448 |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $254 | $240 | $60 | 25% | — | $127 – $304 |
← Payers reporting CPT 42104 · Snapshot 20261112T124536Z-e251e855