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 SUTURE INJURY/WND PHARYNX
Cedar Rapids, IA
See all hospitals reporting CPT 42900 →Price type
St Luke's Methodist Hospital’s median price of $1.0k is 39% below the median hospital's median price ($1.7k), higher than 19% of the 1,486 hospitals reporting CPT 42900. 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 | $300 | $300 | — | — | — | $300 – $300 |
| 2 | Molina medicare advantage fee schedule · both | $306 | $306 | — | — | — | $306 – $306 |
| 3 | Wellmark medicare advantage fee schedule · both | $306 | $306 | — | — | — | $306 – $306 |
| 4 | Humana medicare advantage fee schedule · both | $315 | $315 | — | — | — | $315 – $315 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $315 | $315 | — | — | — | $315 – $315 |
| 6 | Wellmark commercial fee schedule · both | $644 | $644 | — | — | — | $644 – $644 |
| 7 | Wellmark hmo fee schedule · both | $644 | $644 | — | — | — | $644 – $644 |
| 8 | Wellmark ppo fee schedule · both | $757 | $757 | — | — | — | $757 – $757 |
| 9 | Aetna hmo fee schedule · both | $759 | $759 | — | — | — | $759 – $759 |
| 10 | Cigna commercial fee schedule · both | $802 | $802 | — | — | — | $802 – $802 |
| 11 | Aetna ppo fee schedule · both | $923 | $923 | — | — | — | $923 – $923 |
| 12 | UnitedHealthcare hmo fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | UnitedHealthcare ppo fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Aetna medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Molina medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Wellmark medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Humana medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Aetna hmo fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 20 | Aetna ppo fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
Last updated: Jan 28, 2026
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