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
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx
Independence, MO
See all hospitals reporting CPT 42815 →Price type
Centerpoint Medical Center’s median price of $5.8k is 5% below the median hospital's median price ($6.0k), higher than 41% 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: 6 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare ksmgmcd fee schedule · outpatient | $1,897 | $1,897 | $1,897 – $1,897 |
| 2 | UnitedHealthcare momgmcd fee schedule · outpatient | $3,225 | $3,225 | $3,225 – $3,225 |
| 3 | Humana aso case rate · outpatient | $3,291 | $3,291 | $3,291 – $3,291 |
| 4 | Humana epo case rate · outpatient | $3,291 | $3,291 | $3,291 – $3,291 |
| 5 | Humana hmo case rate · outpatient | $3,291 | $3,291 | $3,291 – $3,291 |
| 6 | Humana pos case rate · outpatient | $4,081 | $4,081 | $4,081 – $4,081 |
| 7 | Humana ppo case rate · outpatient | $4,081 | $4,081 | $4,081 – $4,081 |
| 8 | Aetna ivlhix case rate · outpatient | $4,902 | $4,902 | $4,902 – $4,902 |
| 9 | Aetna kccareplus case rate · outpatient | $5,752 | $5,752 | $5,752 – $5,752 |
| 10 | Oscar hix case rate · outpatient | $6,301 | $6,301 | $6,301 – $6,301 |
| 11 | MultiPlan wcompmissouri fee schedule · outpatient | $6,942 | $6,942 | $6,942 – $6,942 |
| 12 | Cigna surefit/localplus case rate · outpatient | $7,563 | $7,563 | $7,563 – $7,563 |
| 13 | MultiPlan primarynetwork case rate · outpatient | $7,600 | $7,600 | $7,600 – $7,600 |
| 14 | MultiPlan wcompkansas fee schedule · outpatient | $8,460 | $8,460 | $8,460 – $8,460 |
| 15 | Aetna local case rate · outpatient | $8,710 | $8,710 | $8,710 – $8,710 |
| 16 | Cigna localkc case rate · outpatient | $9,019 | $9,019 | $9,019 – $9,019 |
| 17 | Aetna national case rate · outpatient | $9,823 | $9,823 | $9,823 – $9,823 |
| 18 | Cigna comm case rate · outpatient | $11,274 | $11,274 | $11,274 – $11,274 |
| 19 | UnitedHealthcare allpayerappendix case rate · outpatient | $11,564 | $11,564 | $11,564 – $11,564 |
Last updated: Mar 1, 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.