Palate repair surgery at Essentia Health Duluth

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

REPAIR PALATE LACER <2CM

Duluth, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Duluth’s median price of $447 is 31% below the median hospital's median price ($647), higher than 16% of the 1,600 hospitals reporting CPT 42180. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42180 at Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 33 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	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$192	$192	—	—	—	$192 – $192
2	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$231	$231	—	—	—	$231 – $231
3	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
4	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
5	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
6	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
7	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
8	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
9	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
10	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
11	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$321	$321	—	—	—	$321 – $321
12	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
13	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$338	$338	$17	5%	—	$321 – $354
14	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$348	$348	—	—	—	$348 – $348
15	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$382	$382	—	—	—	$382 – $382
16	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$382	$382	—	—	—	$382 – $382
17	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$387	$387	—	—	—	$387 – $387
18	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$415	$415	—	—	—	$415 – $415
19	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$415	$415	—	—	—	$415 – $415
20	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$415	$415	—	—	—	$415 – $415
21	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$425	$425	—	—	—	$425 – $425
22	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
23	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
24	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$493	$493	—	—	—	$493 – $493
25	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$493	$493	—	—	—	$493 – $493

Page 1 of 2 · 33 rates

Last updated: Jan 1, 2026

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See Palate repair surgery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.