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
Plstc Rpr Salivary Dux Sialodochoplasty Prim
Low
$0
Average
$4.2k
Median
$3.3k
High
$35k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 139 hospitals; the 90th percentile is 16.7× 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 Delnor Hospital Geneva, IL | $4.3k | $3.7k | $892 | 24% | 10–100 | $2.3k – $4.3k |
| 2 | Massachusetts Eye and Ear Boston, MA | $7.0k | $6.0k | $1.3k | 21% | 5–50 | $4.0k – $7.0k |
| 3 | Boston Medical Center Boston, MA | $6.9k | $8.4k | $3.2k | 39% | 2–20 | $6.7k – $16.9k |
| 4 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $5.7k | $6.3k | $1.8k | 29% | 1–10 | $5.3k – $11.8k |
| 5 | Mayo Clinic Health System Mankato 56001-4752 | $7.2k | $7.2k | $380 | 5% | 1–10 | $6.9k – $8.4k |
| 6 | Northwestern Memorial Hospital Chicago, IL | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 7 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $5.8k | $7.7k | $3.4k | 45% | 1–10 | $1.9k – $14.3k |
| 8 | Eskenazi Health Indianapolis, IN | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 9 | Childrens Hospital of Los Angeles Angeles, CA | $818 | $5.3k | $8.8k | 167% | 1–10 | $401 – $30.5k |
| 10 | San Joaquin Community Hospital Bakersfield, CA | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
Ask Claude or any MCP client for CPT 42500 pricing at a specific hospital — see how to connect.