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
REMOVAL OF SALIVARY STONE
Low
$2
Average
$3.0k
Median
$2.9k
High
$21.1k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1420 hospitals; the 90th percentile is 28.6× 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 | Bethesda Hospital BOYNTON BEACH, FL | $3.6k | $3.6k | — | — | 2–20 | $3.6k – $3.6k |
| 2 | State Of Mississippi-university Of Mississippi Medical Center JACKSON, MS | $4.0k | $4.0k | $1.5k | 36% | 1–10 | $2.5k – $5.6k |
| 3 | St Tammany Hosptial Service District No 2 Slidell, LA | $3.1k | $4.0k | $2.1k | 53% | 1–10 | $2.4k – $8.5k |
| 4 | Dignity Health Gilbert, AZ | $3.5k | $3.1k | $1.2k | 40% | 1–10 | $175 – $5.5k |
| 5 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $216 | $292 | $288 | 99% | 1–10 | $132 – $1.9k |
| 6 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $3.3k | $3.6k | $1.7k | 47% | — | $252 – $6.2k |
| 7 | Beth Israel Deaconess Hospital - Needham Needham, MA | $5.1k | $5.1k | $753 | 15% | — | $4.3k – $5.8k |
| 8 | Ingalls Memorial Hospital Harvey, IL | $3.7k | $3.6k | $314 | 9% | — | $3.2k – $3.9k |
| 9 | USA Health University Hospital Mobile, AL | $2.4k | $2.4k | $103 | 4% | — | $2.4k – $2.6k |
| 10 | Fairview Health Services Edina, MN | $563 | $1.7k | $2.0k | 114% | — | $114 – $7.4k |
Ask Claude or any MCP client for CPT 42330 pricing at a specific hospital — see how to connect.