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
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx
The hospitals that file a Magellan 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.
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14 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $25.85 | $25.85 – $25.85 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $248.52 | $248.52 – $248.52 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $248.52 | $248.52 – $248.52 |
| 4 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $4,788 | $2,897 – $6,678 |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $715.14 | $197.28 – $1,233 |
| 6 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $511.84 | $511.84 – $511.84 |
| 7 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $6,864 | $6,864 – $6,864 |
| 8 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $16,920 | $16,920 – $16,920 |
| 9 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · both | 1 | $160.26 | $160.26 – $160.26 |
| 10 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · inpatient | 1 | $133.55 | $133.55 – $133.55 |
| 11 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · outpatient | 1 | $133.55 | $133.55 – $133.55 |
| 12 | St Mary Medical Center Langhorne, PA professional · fee schedule · both | 1 | $29.40 | $29.40 – $29.40 |
| 13 | St Mary Medical Center Langhorne, PA professional · fee schedule · inpatient | 1 | $147.00 | $147.00 – $147.00 |
| 14 | St Mary Medical Center Langhorne, PA professional · fee schedule · outpatient | 1 | $147.00 | $147.00 – $147.00 |
← Payers reporting CPT 42815 · Snapshot 20261108T203506Z-bb90dbab