Removal of palate or uvula lesion with simple stitching at Rush Medical Foundation

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

PR EXCIS LESN,PALATE/UVULA-SIMPL CLOS

Meridian, MS

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How this price compares nationally

Rush Medical Foundation’s median price of $166 is 95% below the median hospital's median price ($3.2k), higher than 6% of the 1,608 hospitals reporting CPT 42106. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42106 at Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 11 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	Humana all payor fee schedule · outpatient	$131	$131	$13	10%	—	$118 – $144
2	Molina all payor fee schedule · outpatient	$138	$138	$8	6%	—	$130 – $146
3	Cigna Healthspring all payor fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
4	Optum all payor fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
5	WellCare all payor fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
6	Ambetter all payor fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
7	Cigna all payor fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
8	UnitedHealthcare all payor fee schedule · outpatient	$425	$332	$132	40%	—	$144 – $425
9	Bcbs Ms all payor fee schedule · outpatient	$334	$334	—	—	—	$334 – $334
10	MultiPlan all payor fee schedule · outpatient	$433	$433	—	—	—	$433 – $433
11	Aetna all payor fee schedule · outpatient	$458	$458	—	—	—	$458 – $458

Last updated: Apr 1, 2026

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