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
PR LENGTHN PALATE PHRYNGL FLAP
Rochester, MN
See all hospitals reporting CPT 42226 →Price type
Mayo Clinic’s median price of $10.2k is 67% above the median hospital's median price ($6.1k), higher than 87% of the 1,466 hospitals reporting CPT 42226. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 68 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $407 | $407 | — | — | — | $407 – $407 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $419 | $419 | — | — | — | $419 – $419 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 12 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $610 | $610 | — | — | — | $610 – $610 |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $813 | $813 | — | — | — | $813 – $813 |
| 14 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $813 | $813 | — | — | — | $813 – $813 |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Blue Cross Blue Shield pps medicaid bcbs [1146] facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 17 | Optum veteran affairs optum [1045] facility · other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 18 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 19 | Ucare ucare msho medicare advantage plan [621] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 20 | Medica medica advantage solution by county medicare advantage plan [793] facility · other · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 21 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [228] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 22 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 23 | Ucare ucare connect+ medicare advantage plan [1116] facility · other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 24 | UnitedHealthcare united healthcare medicare advantage plan [1249] facility · other · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 25 | Medica medica advantage solution medicare advantage plan [1206] facility · other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Aug 14, 2026
See Palate lengthening with pharyngeal flap surgery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.