Home / CPT 42955 / By billing class Preview of prices split by billing class
Pharynx opening for feeding tube CPT 42955 A hospital usually bills a facility fee (its own: room, staff, supplies) and, for some, a separate professional fee (the clinician’s). The main code page averages the two. These views keep them apart.
Typical facility fee
$2,147 median facility fee, 416 hospitals
The hospital's own fee for this code, for the 416 hospitals that file one, each averaged over every methodology and setting it files a facility price under.
Hospitals Estimated total 31 Facility only 416 Professional only Any methodology and setting Fee schedule · Outpatient (343 fac · 62 pro) Case rate · Outpatient (208 fac · 2 pro) Other · Outpatient (10 fac · 2 pro) Percent of total billed charges · Outpatient (8 fac · 8 pro) Per diem · Outpatient (4 fac · 0 pro) Percent of total billed charges · Inpatient (1 fac · 4 pro) Fee schedule · Both (0 fac · 37 pro) Percent of total billed charges · Both (0 fac · 14 pro) Showing 1–25 of 416 hospitals i 1,424 hospitals have a price for this code. 416 of them file a facility price. The rest file only the other fee or no billing class. The “Prices filed as” dropdown lists the 8 methodology and setting combinations with the most hospitals; 3 others with fewer hospitals are not listed.
Hospital Facility↓ The New London Hospital Association, Inc. London, NH
$15,680 Fairfield Medical Center 401 N Ewing St
$7,868 Rady Children's Hospital - San Diego Murrieta, CA
$7,360 MUSC Lancaster Medical Center Lancaster, SC
$6,692 St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital JUNCTION, CO
$6,686 Anderson Hospital Maryville, IL
$6,356 USC Kenneth Norris Jr Cancer Hospital Los Angeles, CA
$6,337 Parkview Wabash Hospital, Inc Wabash, IN
$6,311 Hoag Memorial Hospital Presbyterian Irvine, CA
$6,165 Kennedy University Hospital, Inc Turnersville, NJ
$6,106 Kennedy University Hospital, Inc Cherry Hill, NJ
$6,106 Kennedy University Hospital, Inc Stratford, NJ
$6,106 Thomas Jefferson University Hospital, Inc. Philadelphia, PA
$6,018 Thomas Jefferson University Hospital, Inc. Philadelphia, PA
$6,017 Parkview Lagrange Hospital Lagrange, IN
$5,941 Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY
$5,875 Albany General Hospital Albany, OR
$5,505 Benson Hospital Corporation Benson, AZ
$5,282 MUSC Chester Regional Medical Center Chester, SC
$4,941 Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital DENVER, CO
$4,764 Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital WHEAT RIDGE, CO
$4,638 Decatur Health Resource, Inc. Decatur, GA
$4,557 Good Samaritan Medical Center, Llc Dba LAFAYETTE, CO
$4,543 Brighton Community Hospital Association Dba Intermountain Health Platte Valley Hospital BRIGHTON, CO
$4,521 MUSC Health Florence Medical Center Florence, SC
$4,407
Page 1 of 17 Next → Price distribution Facility only Any methodology and setting
416 hospitals; the 90th percentile is 2.8× the 10th.
hospitals 0 50 100 median $2,147 $407 $4,997+ (18 above) shaded: middle 50%