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
Langhorne, PA
See all hospitals reporting CPT 42815 →Price type
St Mary Medical Center’s median price of $147 is 98% 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: 32 payers, 201 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 aetna workers comp professional · percent of total billed charges · bothfrom % of charges | $14.20 | $14.20 | $14.20 – $14.20 |
| 2 | MultiPlan multiplan professional · percent of total billed charges · bothfrom % of charges | $15.78 | $15.78 | $15.78 – $15.78 |
| 3 | Amerihealth Caritas medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 4 | Anthem medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 5 | Blue Cross Blue Shield medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 6 | Carefirst medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 7 | Caresource medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 8 | Cigna medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 9 | Excellus medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 10 | First Health medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 11 | Highmark medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 12 | Humana medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 13 | Kaiser medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 14 | Magellan medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 15 | Medicaid medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 16 | Molina medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 17 | Ucare medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 18 | WellCare medicaid professional · fee schedule · both | $29.40 | $29.40 | $29.40 – $29.40 |
| 19 | Highmark gateway health medicaid professional · fee schedule · both | $33.81 | $33.81 | $33.81 – $33.81 |
| 20 | Aetna medicare professional · fee schedule · both | $39.02 | $39.02 | $39.02 – $39.02 |
| 21 | Anthem medicare professional · fee schedule · both | $39.02 | $39.02 | $39.02 – $39.02 |
| 22 | Blue Cross Blue Shield medicare professional · fee schedule · both | $39.02 | $39.02 | $39.02 – $39.02 |
| 23 | Carefirst medicare professional · fee schedule · both | $39.02 | $39.02 | $39.02 – $39.02 |
| 24 | Caresource medicare professional · fee schedule · both | $39.02 | $39.02 | $39.02 – $39.02 |
| 25 | Cigna cigna medicare advantage professional · fee schedule · both | $39.02 | $39.02 | $39.02 – $39.02 |
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.