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
42104 Exc Lesion Palate/Uvula w/o Closure
Bluffton, IN
See all hospitals reporting CPT 42104 →Price type
Bluffton Health System LLC’s median price of $400 is 87% below the median hospital's median price ($3.2k), higher than 18% of the 1,733 hospitals reporting CPT 42104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $169 | $151 | $30 | 20% | — | $108 – $175 |
| 2 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $189 | $168 | $34 | 20% | — | $121 – $196 |
| 3 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $193 | $172 | $35 | 20% | — | $123 – $200 |
| 4 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $193 | $172 | $35 | 20% | — | $123 – $200 |
| 5 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $193 | $172 | $35 | 20% | — | $123 – $200 |
| 6 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $193 | $172 | $35 | 20% | — | $123 – $200 |
| 7 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $238 | $212 | $43 | 20% | — | $152 – $247 |
| 8 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $238 | $212 | $43 | 20% | — | $152 – $247 |
| 9 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $249 | $223 | $45 | 20% | — | $160 – $259 |
| 10 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $426 | $381 | $76 | 20% | — | $273 – $442 |
| 11 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $426 | $381 | $76 | 20% | — | $273 – $442 |
| 12 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $458 | $409 | $82 | 20% | — | $293 – $476 |
| 13 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $458 | $409 | $82 | 20% | — | $293 – $476 |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | Aetna node aetna mcr adv facility · other · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 16 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 17 | Anthem anthem in hip facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | Humana node humana choicecare mcr adv facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 19 | Optum node united optum va ccn facility · per diem · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Caresource node caresource mcr adv facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 21 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 23 | Anthem anthem in work comp facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 24 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 25 | Anthem anthem in healthsync facility · fee schedule · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
Last updated: Apr 1, 2026
See Excision of palate or uvula lesion, no closure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.