Drainage of roof-of-mouth lesion at UPMC Hanover

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DRN ABSC PALATE/UVULA

Hanover, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Hanover’s median price of $586 is 67% above the median hospital's median price ($350), higher than 70% of the 1,841 hospitals reporting CPT 42000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42000 at UPMC Hanover

Negotiated rates from the hospital’s own file: 9 payers, 19 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	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
2	Highmark medicare facility · fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
3	Humana medicare facility · fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
4	Aetna medicare facility · fee schedule · outpatient	$231	$231	—	—	—	$231 – $231
5	Cigna medicare facility · fee schedule · outpatient	$233	$233	—	—	—	$233 – $233
6	UnitedHealthcare medicare facility · fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
7	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$265	$265	—	—	—	$265 – $265
8	Highmark medicaid facility · fee schedule · outpatient	$381	$381	$355	93%	—	$25 – $736
9	Highmark commercial facility · fee schedule · outpatient	$789	$789	—	—	—	$789 – $789
10	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$792	$792	—	—	—	$792 – $792
11	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
12	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
13	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
14	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
15	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Mar 6, 2026

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