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
Syracuse, NY
See all hospitals reporting CPT 42815 →Price type
St Josephs Hospital Health Center’s median price of $160 is 97% below the median hospital's median price ($6.0k), higher than 0% 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: 31 payers, 180 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 uhc medicaid professional · fee schedule · both | $28.21 | $28.21 | $28.21 – $28.21 |
| 2 | Aetna medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 3 | Anthem empire bcbs medicare advantage professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 4 | Anthem medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 5 | Blue Cross Blue Shield medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 6 | Carefirst medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 7 | Caresource medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 8 | Cigna medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 9 | Clover medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 10 | Devoted medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 11 | Excellus excellus bcbs medicare advantage professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 12 | Highmark medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 13 | Humana humana medicare advantage professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 14 | Humana medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 15 | Kaiser medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 16 | Medica medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 17 | Medical Mutual medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 18 | Medicare medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 19 | Molina medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 20 | Optum medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 21 | Oscar medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 22 | Regence medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 23 | Sanford Health Plan medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 24 | Ucare medicare professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
| 25 | UnitedHealthcare uhc medicare advantage professional · fee schedule · both | $35.88 | $35.88 | $35.88 – $35.88 |
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.