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 Exc Branchial Cleft Cyst/Vestige/Fstl Extn Beneath Subq Tiss &/Pharynx
Ypsilanti, MI
See all hospitals reporting CPT 42815 →Price type
St Joseph Mercy Ann Arbor’s median price of $5.5k is 9% below the median hospital's median price ($6.0k), higher than 36% 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: 13 payers, 18 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 | Caresource hap hmo facility · fee schedule · outpatient | $1,416 | $1,416 | $1,416 – $1,416 |
| 2 | Blue Cross Blue Shield blue cross complete medicaid facility · other · outpatient | $3,307 | $3,307 | $3,307 – $3,307 |
| 3 | Molina molina medicaid facility · other · outpatient | $3,371 | $3,371 | $3,371 – $3,371 |
| 4 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · outpatient | $3,379 | $3,379 | $3,379 – $3,379 |
| 5 | Anthem bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 6 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 7 | Carefirst bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 8 | Excellus bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 9 | Highmark bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 10 | Kaiser bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 11 | Premera bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 12 | Regence bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 13 | Wellmark bcbs trad / trust facility · fee schedule · outpatient | $5,518 | $5,518 | $5,518 – $5,518 |
| 14 | Aetna aetna medicare advantage facility · other · outpatient | $5,803 | $5,803 | $5,803 – $5,803 |
| 15 | Blue Cross Blue Shield bcbs medicare advantage facility · other · outpatient | $5,803 | $5,803 | $5,803 – $5,803 |
| 16 | Molina molina medicare advantage facility · other · outpatient | $5,803 | $5,803 | $5,803 – $5,803 |
| 17 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $6,099 | $6,099 | $6,099 – $6,099 |
| 18 | Molina molina hmo marketplace facility · other · outpatient | $7,697 | $7,697 | $7,697 – $7,697 |
Last updated: Mar 31, 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.