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
42815 - Exc branchial cleft cyst, vestige, or fist
La Porte, IN
See all hospitals reporting CPT 42815 →Price type
La Porte Hospital Company LLC’s median price of $6.2k is 2% above the median hospital's median price ($6.0k), higher than 53% 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: 11 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 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $702.02 | $702.02 | $279.72 – $1,124 |
| 2 | Aetna aetna nap facility · percent of total billed charges · inpatientfrom % of charges | $747.20 | $747.20 | $297.72 – $1,197 |
| 3 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $813.15 | $813.15 | $324.00 – $1,302 |
| 4 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $813.15 | $813.15 | $324.00 – $1,302 |
| 5 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $813.15 | $813.15 | $324.00 – $1,302 |
| 6 | Caresource caresource medicaid facility · other · outpatient | $2,401 | $2,401 | $2,401 – $2,401 |
| 7 | Anthem anthem in medicaid facility · other · outpatient | $3,122 | $3,122 | $3,122 – $3,122 |
| 8 | Caresource caresource hhw in medicaid facility · other · outpatient | $3,122 | $3,122 | $3,122 – $3,122 |
| 9 | Caresource caresource in hip facility · other · outpatient | $3,122 | $3,122 | $3,122 – $3,122 |
| 10 | Humana humana pathways in medicaid facility · other · outpatient | $3,122 | $3,122 | $3,122 – $3,122 |
| 11 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $3,122 | $3,122 | $3,122 – $3,122 |
| 12 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $3,122 | $3,122 | $3,122 – $3,122 |
| 13 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $5,559 | $5,559 | $5,559 – $5,559 |
| 14 | Tricare node tricare facility · fee schedule · outpatient | $5,950 | $5,950 | $5,950 – $5,950 |
| 15 | Aetna node aetna mcr adv facility · other · outpatient | $6,176 | $6,176 | $6,176 – $6,176 |
| 16 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $6,176 | $6,176 | $6,176 – $6,176 |
| 17 | Humana node humana mcr adv facility · fee schedule · outpatient | $6,176 | $6,176 | $6,176 – $6,176 |
| 18 | Anthem anthem in hip facility · fee schedule · outpatient | $6,277 | $6,277 | $6,277 – $6,277 |
| 19 | Anthem anthem in hip facility · other · outpatient | $6,277 | $6,277 | $6,277 – $6,277 |
| 20 | Optum node united optum va ccn facility · per diem · outpatient | $6,277 | $6,277 | $6,277 – $6,277 |
| 21 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $6,300 | $6,300 | $6,300 – $6,300 |
| 22 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $9,415 | $9,415 | $9,415 – $9,415 |
| 23 | Anthem anthem in work comp facility · fee schedule · outpatient | $10,043 | $10,043 | $10,043 – $10,043 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1,059 | $10,856 | $263.52 – $31,246 |
| 25 | UnitedHealthcare uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1,059 | $10,961 | $263.52 – $31,560 |
Last updated: Apr 1, 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.