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&/PHRNX
Neptune City, NJ
See all hospitals reporting CPT 42815 →Price type
Hmh Hospitals Corporation’s median price of $10.2k is 69% above the median hospital's median price ($6.0k), higher than 88% 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, 17 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 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2,365 | $2,365 | $2,365 – $2,365 |
| 2 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $2,379 | $2,379 | $2,379 – $2,379 |
| 3 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2,565 | $2,565 | $2,565 – $2,565 |
| 4 | Cigna hmo facility · case rate · outpatient | $5,025 | $5,025 | $5,025 – $5,025 |
| 5 | Cigna ppo facility · case rate · outpatient | $5,631 | $5,631 | $5,631 – $5,631 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $6,548 | $6,548 | $6,548 – $6,548 |
| 7 | Optum medicare advantage facility · fee schedule · outpatient | $6,548 | $6,548 | $6,548 – $6,548 |
| 8 | WellCare managed medicaid facility · fee schedule · outpatient | $6,548 | $6,548 | $6,548 – $6,548 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $6,548 | $6,548 | $6,548 – $6,548 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $7,137 | $7,137 | $7,137 – $7,137 |
| 11 | UnitedHealthcare dsnp facility · fee schedule · outpatient | $7,857 | $7,857 | $7,857 – $7,857 |
| 12 | Aetna hmo facility · case rate · outpatient | $10,202 | $10,202 | $10,202 – $10,202 |
| 13 | Aetna ppo facility · case rate · outpatient | $10,202 | $10,202 | $10,202 – $10,202 |
| 14 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $11,157 | $11,157 | $11,157 – $11,157 |
| 15 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $11,399 | $11,399 | $11,399 – $11,399 |
| 16 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $12,112 | $12,112 | $12,112 – $12,112 |
| 17 | UnitedHealthcare hmo facility · case rate · outpatient | $19,888 | $19,888 | $19,888 – $19,888 |
Last updated: Dec 31, 2025
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.