Palate repair surgery at Metropolitan Methodist

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Repair, laceration of palate; up to 2 cm

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Metropolitan Methodist’s median price of $1.6k is 149% above the median hospital's median price ($647), higher than 80% 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 Metropolitan Methodist

Negotiated rates from the hospital’s own file: 10 payers, 46 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	UnitedHealthcare mcd fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
2	First Health mcdstarkids fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
3	First Health starplus fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
4	Molina chip fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
5	Molina mcdstar fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
6	Molina star+plus fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
7	Molina starkids fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
8	Humana mgmcd fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
9	Aetna Better Health chip fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
10	Aetna Better Health chipepo fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
11	Aetna Better Health chipperinate fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
12	Aetna Better Health chpfc fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
13	Aetna Better Health star fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
14	Aetna Better Health star+plus fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
15	Aetna Better Health starkids fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
16	First Health chip per diem · outpatient	$365	$365	—	—	—	$365 – $365
17	First Health chipperinate per diem · outpatient	$365	$365	—	—	—	$365 – $365
18	First Health mcdstar per diem · outpatient	$365	$365	—	—	—	$365 – $365
19	WellCare mcrhmo fee schedule · outpatient	$558	$558	—	—	—	$558 – $558
20	WellCare mcrpos fee schedule · outpatient	$558	$558	—	—	—	$558 – $558
21	WellCare mcrppo fee schedule · outpatient	$558	$558	—	—	—	$558 – $558
22	WellCare mcrsnp fee schedule · outpatient	$558	$558	—	—	—	$558 – $558
23	WellCare pffs fee schedule · outpatient	$558	$558	—	—	—	$558 – $558
24	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$680	$680	—	—	—	$680 – $680
25	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$928	$928	—	—	—	$928 – $928

Page 1 of 2 · 46 rates

Last updated: May 1, 2026

Compare to other hospitals

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.