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
BIOPSY OF SALIVARY GLAND; INCISIONAL
York, PA
See all hospitals reporting CPT 42405 →Price type
UPMC Memorial’s median price of $1.5k is 13% below the median hospital's median price ($1.7k), higher than 36% of the 1,700 hospitals reporting CPT 42405. 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, 11 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 | $99 | $99 | — | — | — | $99 – $99 |
| 2 | Highmark medicare facility · fee schedule · outpatient | $595 | $595 | — | — | — | $595 – $595 |
| 3 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $749 | $749 | — | — | — | $749 – $749 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Cigna medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Highmark medicaid facility · fee schedule · outpatient | $2.4k | $2.4k | $2.3k | 96% | — | $93 – $4.7k |
| 8 | Blue Cross Blue Shield chip facility · case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 9 | Blue Cross Blue Shield commercial facility · case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 10 | Highmark commercial facility · fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 11 | Cigna commercial facility · case rate · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Mar 6, 2026
See Incisional biopsy of salivary gland pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.