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
EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX
Weston, FL
See all hospitals reporting CPT 42815 →Price type
Cleveland Clinic Weston Hospital Nonprofit Corporation’s median price of $2.0k is 67% below the median hospital's median price ($6.0k), higher than 20% 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: 10 payers, 35 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 | Optum managed medicaid professional · fee schedule · outpatient | $408.65 | $408.65 | $408.65 – $408.65 |
| 2 | Medicaid managed medicaid professional · fee schedule · outpatient | $415.92 | $415.92 | $415.92 – $415.92 |
| 3 | UnitedHealthcare managed medicaid professional · fee schedule · outpatient | $415.92 | $415.92 | $415.92 – $415.92 |
| 4 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $495.76 | $495.76 | $495.76 – $495.76 |
| 5 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $511.84 | $511.84 | $511.84 – $511.84 |
| 6 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $511.84 | $511.84 | $511.84 – $511.84 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $511.84 | $511.84 | $511.84 – $511.84 |
| 8 | WellCare medicare advantage professional · fee schedule · outpatient | $511.84 | $511.84 | $511.84 – $511.84 |
| 9 | Aetna aetna signature administrators facility · fee schedule · outpatient | $573.00 | $573.00 | $573.00 – $573.00 |
| 10 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $621.87 | $621.87 | $621.87 – $621.87 |
| 11 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $621.87 | $621.87 | $621.87 – $621.87 |
| 12 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $621.87 | $621.87 | $621.87 – $621.87 |
| 13 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $634.68 | $634.68 | $634.68 – $634.68 |
| 14 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $644.92 | $644.92 | $644.92 – $644.92 |
| 15 | UnitedHealthcare all products professional · fee schedule · outpatient | $1,079 | $1,079 | $1,079 – $1,079 |
| 16 | MultiPlan all products professional · percent of total billed charges · outpatientfrom % of charges | $1,462 | $1,462 | $1,462 – $1,462 |
| 17 | Aetna all products first health professional · percent of total billed charges · outpatientfrom % of charges | $2,047 | $2,047 | $2,047 – $2,047 |
| 18 | Optum managed medicaid facility · case rate · outpatient | $2,132 | $2,132 | $2,132 – $2,132 |
| 19 | Medicaid managed medicaid facility · case rate · outpatient | $2,245 | $2,245 | $2,245 – $2,245 |
| 20 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $2,245 | $2,245 | $2,245 – $2,245 |
| 21 | Aetna managed medicaid/chip facility · case rate · outpatient | $2,694 | $2,694 | $2,694 – $2,694 |
| 22 | Cigna all products mid-level professional · percent of total billed charges · outpatientfrom % of charges | $2,924 | $2,924 | $2,924 – $2,924 |
| 23 | Cigna all products physician professional · percent of total billed charges · outpatientfrom % of charges | $2,924 | $2,924 | $2,924 – $2,924 |
| 24 | Cigna individual family plan mid-level professional · percent of total billed charges · outpatientfrom % of charges | $2,924 | $2,924 | $2,924 – $2,924 |
| 25 | Cigna individual family plan physician professional · percent of total billed charges · outpatientfrom % of charges | $2,924 | $2,924 | $2,924 – $2,924 |
Last updated: Jun 15, 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.