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
BIOPSY OF UPPER NOSE/THROAT
Eureka, IL
See all hospitals reporting CPT 42804 →Price type
Carle Eureka Hospital’s median price of $122 is 96% below the median hospital's median price ($3.2k), higher than 3% of the 1,643 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: 4 payers, 6 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $122 | $122 | — | — | — | $122 – $122 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Aetna commercial fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 6 | WellCare medicare advantage hmo case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Apr 15, 2026
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