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
HC BIOPSY OF: NASOPHARYNX-VISIBLE LESION
Monroe, LA
See all hospitals reporting CPT 42804 →Price type
Brfhh Monroe, Llc’s median price of $2.2k is 31% below the median hospital's median price ($3.2k), higher than 31% of the 1,634 hospitals reporting CPT 42804. 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, 12 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 | Aetna Better Health all payor case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 2 | Amerihealth Caritas all payor case rate · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 3 | Cigna all payor case rate · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 4 | MultiPlan all payor other · outpatient | $900 | $900 | — | — | — | $900 – $900 |
| 5 | First Health all payor other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | UnitedHealthcare all payor case rate · outpatient | $978 | $1.6k | $1.1k | 69% | — | $359 – $2.9k |
| 7 | Humana all payor case rate · outpatient | $1.7k | $1.7k | $1.3k | 78% | — | $359 – $2.9k |
| 8 | Aetna all payor case rate · outpatient | $2.0k | $2.0k | $906 | 44% | — | $1.1k – $2.9k |
| 9 | Bcbs La all payor fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | Humana all payor other · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 11 | Bcbs La all payor case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | Optum all payor case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
Last updated: Apr 1, 2026
See Biopsy of visible nasopharynx lesion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.