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
PR Exc Branchial Cleft Cyst/Vestige/Fstl Extn Beneath Subq Tiss &/Pharynx
Des Moines, IA
See all hospitals reporting CPT 42815 →Price type
Catholic Health Initiatives-Iowa Corp’s median price of $215 is 96% below the median hospital's median price ($6.0k), higher than 0% of the 1,666 hospitals reporting CPT 42815. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 32 payers, 219 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 | Amerihealth Caritas medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 2 | Anthem medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 3 | Blue Cross Blue Shield medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 4 | Carefirst medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 5 | Caresource medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 6 | Cigna medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 7 | Excellus medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 8 | First Health medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 9 | Highmark medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 10 | Humana medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 11 | Kaiser medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 12 | Magellan medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 13 | Medicaid medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 14 | Molina medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 15 | UnitedHealthcare medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 16 | WellCare medicaid iowa professional · fee schedule · both | $25.85 | $25.85 | $25.85 – $25.85 |
| 17 | Molina molina medicaid professional · fee schedule · both | $26.49 | $26.49 | $26.49 – $26.49 |
| 18 | Ucare ucare medicaid professional · fee schedule · both | $32.33 | $32.33 | $32.33 – $32.33 |
| 19 | Aetna aetna medicare advantage professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
| 20 | Aetna medicare professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
| 21 | Anthem medicare professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
| 22 | Blue Cross Blue Shield medicare professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
| 23 | Carefirst medicare professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
| 24 | Caresource medicare professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
| 25 | Cigna medicare professional · fee schedule · both | $34.47 | $34.47 | $34.47 – $34.47 |
Last updated: Mar 31, 2026
See Surgical removal of branchial cleft cyst or fistula pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.