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
3M $ EXC BRANCH CLFT CYST VESTIG >S
Washington, DC
See all hospitals reporting CPT 42815 →Price type
Children's National Hospital’s median price of $595 is 90% below the median hospital's median price ($6.0k), higher than 8% 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: 8 payers, 25 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 | Anthem medicaid professional · fee schedule · both | $472.48 | $472.48 | $472.48 – $472.48 |
| 2 | UnitedHealthcare managed medicaid professional · fee schedule · both | $474.58 | $474.58 | $472.04 – $477.12 |
| 3 | Aetna Better Health managed medicaid professional · fee schedule · both | $491.13 | $491.13 | $449.56 – $532.70 |
| 4 | Kaiser managed medicaid professional · fee schedule · both | $509.54 | $509.54 | $509.54 – $509.54 |
| 5 | Carefirst managed medicaid professional · fee schedule · both | $539.47 | $539.47 | $539.47 – $539.47 |
| 6 | Carefirst hmo professional · fee schedule · both | $562.83 | $562.83 | $562.83 – $562.83 |
| 7 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $579.02 | $579.02 | $579.02 – $579.02 |
| 8 | Molina managed medicaid (medallion) professional · fee schedule · both | $579.02 | $579.02 | $579.02 – $579.02 |
| 9 | Anthem hmo facility · fee schedule · outpatient | $595.30 | $595.30 | $595.30 – $595.30 |
| 10 | Anthem hmx facility · fee schedule · outpatient | $595.30 | $595.30 | $595.30 – $595.30 |
| 11 | Anthem ppo/par facility · fee schedule · outpatient | $595.30 | $595.30 | $595.30 – $595.30 |
| 12 | Carefirst rpn professional · fee schedule · both | $625.37 | $625.37 | $625.37 – $625.37 |
| 13 | Aetna commercial professional · fee schedule · both | $642.60 | $642.60 | $642.60 – $642.60 |
| 14 | Anthem hmx professional · fee schedule · both | $811.03 | $811.03 | $811.03 – $811.03 |
| 15 | Anthem hmo professional · fee schedule · both | $883.10 | $883.10 | $883.10 – $883.10 |
| 16 | Anthem ppo/par professional · fee schedule · both | $1,105 | $1,105 | $1,105 – $1,105 |
| 17 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $1,164 | $1,164 | $1,164 – $1,164 |
| 18 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $1,164 | $1,164 | $1,164 – $1,164 |
| 19 | Kaiser commercial professional · percent of total billed charges · bothfrom % of charges | $1,396 | $1,396 | $1,396 – $1,396 |
| 20 | Aetna commercial facility · fee schedule · outpatient | $7,007 | $7,007 | $7,007 – $7,007 |
| 21 | Carefirst hmo facility · fee schedule · outpatient | $7,500 | $7,500 | $7,500 – $7,500 |
| 22 | Carefirst rpn facility · fee schedule · outpatient | $7,500 | $7,500 | $7,500 – $7,500 |
| 23 | UnitedHealthcare all payer facility · fee schedule · outpatient | $8,597 | $8,597 | $8,597 – $8,597 |
| 24 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $9,457 | $9,457 | $9,457 – $9,457 |
| 25 | Cigna oap facility · fee schedule · outpatient | $10,290 | $10,290 | $10,290 – $10,290 |
Last updated: Apr 2, 2026
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