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
Northridge, CA
See all hospitals reporting CPT 42804 →Price type
Dignity Community Care’s median price of $4.1k is 30% above the median hospital's median price ($3.2k), higher than 77% of the 1,634 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: 8 payers, 21 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 3 | Anthem medicaid|< 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Anthem medicaid|> 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $566 | $566 | — | — | — | $566 – $566 |
| 8 | Anthem commercial|vivity case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 11 | Anthem commercial|all other plans case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 12 | Aetna medicare|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 13 | Anthem medicare|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 14 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 15 | First Health commercial|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 16 | Humana commercial|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 17 | Humana medicare|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 18 | Kaiser medicare|all plans fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 19 | Molina medicare|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 20 | UnitedHealthcare medicare|all plans case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | Anthem commercial|mcs case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Feb 28, 2026
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