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 LENGTHENING PALATE+PHARY FLAP
Cedar Rapids, IA
See all hospitals reporting CPT 42226 →Price type
St Luke's Methodist Hospital’s median price of $2.7k is 55% below the median hospital's median price ($6.1k), higher than 19% 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: 6 payers, 22 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 | Aetna medicare advantage fee schedule · both | $816 | $816 | — | — | — | $816 – $816 |
| 2 | Molina medicare advantage fee schedule · both | $832 | $832 | — | — | — | $832 – $832 |
| 3 | Wellmark medicare advantage fee schedule · both | $832 | $832 | — | — | — | $832 – $832 |
| 4 | Humana medicare advantage fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $856 | $856 | — | — | — | $856 – $856 |
| 6 | Wellmark commercial fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Wellmark hmo fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Aetna hmo fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | Wellmark ppo fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Cigna commercial fee schedule · both | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Aetna ppo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | UnitedHealthcare hmo fee schedule · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | UnitedHealthcare ppo fee schedule · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | Aetna medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 15 | Molina medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 16 | Wellmark medicare advantage case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 17 | Humana medicare advantage case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 19 | Aetna hmo fee schedule · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 20 | Aetna ppo fee schedule · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
Last updated: Jan 28, 2026
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