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
$41
Average
$4.1k
Median
$2.4k
High
$51.5k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 363 hospitals; the 90th percentile is 30.5× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $13.4k | $13.3k | $7.3k | 55% | 47–470 | $1.6k – $23.3k |
| 2 | Northwestern Memorial Hospital Chicago, IL | $16.2k | $18.2k | $10.9k | 60% | 38–380 | $163 – $39.8k |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL | $15.9k | $14.3k | $6.9k | 48% | 25–250 | $2.7k – $25.0k |
| 4 | Northwestern Lake Forest Hospital Lake Forest, IL | $11.8k | $12.9k | $7.3k | 56% | 21–210 | $3.9k – $23.5k |
| 5 | North Carolina Baptist Hospital Winston Salem, NC | $2.6k | $3.5k | $1.8k | 52% | 5–50 | $1.3k – $7.2k |
| 6 | City Hospital, Inc. Martinsburg, WV | $5.5k | $5.1k | $1.2k | 24% | 5–50 | $3.7k – $6.9k |
| 7 | Community Medical Center Toms River, NJ | $3.9k | $3.9k | — | — | 5–50 | $3.9k – $3.9k |
| 8 | Mayo Clinic Rochester, MN | $1.0k | $1.0k | $428 | 42% | 4–40 | $474 – $7.6k |
| 9 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $2.2k | $2.3k | $414 | 18% | 3–30 | $1.6k – $3.2k |
| 10 | Mayo Clinic Arizona Phoenix, AZ | $719 | $736 | $276 | 37% | 3–30 | $359 – $5.5k |
Ask Claude or any MCP client for CPT 42104 pricing at a specific hospital — see how to connect.