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Procedure price report · Other non-OR therapeutic procedures on nose, mouth and pharynx

Drainage of an abscess on the palate or uvula

CPT 42000the billing code this page is about

Opening and draining a collection of pus in the roof of the mouth or the uvula.

Hospitals typically charge $381 cash for this outpatient procedure — the median across 1,536 hospitals that filed a usable cash price; the average of the middle 60% is $416. Most fall between $231 and $718 (20th–80th percentile).

Hospitals
1,536
States
50
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,536 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$155$253$381$642$1,165

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($155 vs $1,165).

How the prices are spread

$118 – $154: 79 hospitals$118$154 – $201: 91 hospitals$201 – $261: 172 hospitals$201$261 – $340: 260 hospitals$340 – $443: 206 hospitals$340$443 – $577: 172 hospitals$577 – $752: 208 hospitals$577$752 – $980: 92 hospitals$980 – $1,276: 48 hospitals$980$1,276 – $1,662: 67 hospitals$1,276median $381price bands are equal on a log scale
Hospitals per price band (1,395 of 1,536 — the bands cover the 5th to 95th percentile)
FromToHospitals
$118$15479
$154$20191
$201$261172
$261$340260
$340$443206
$443$577172
$577$752208
$752$98092
$980$1,27648
$1,276$1,66267

Against Medicare

Medicare pays (OPPS 2026, national rate)$242
Median cash price$381
Cash as a multiple of Medicare1.58×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $381.

Alaska: median $411 across 11 hospitalsAK$411Maine: median $306 across 15 hospitalsME$306Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $217 across 13 hospitalsNH$217Washington: median $489 across 42 hospitalsWA$489Idaho: median $649 across 12 hospitalsID$649Montana: median $295 across 13 hospitalsMT$295North Dakota: median $356 across 10 hospitalsND$356Minnesota: median $351 across 49 hospitalsMN$351Illinois: median $367 across 71 hospitalsIL$367Wisconsin: median $461 across 47 hospitalsWI$461Michigan: median $240 across 57 hospitalsMI$240New York: median $443 across 80 hospitalsNY$443Massachusetts: median $716 across 35 hospitalsMA$716Oregon: median $458 across 37 hospitalsOR$458Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $386 across 33 hospitalsIA$386Indiana: median $307 across 34 hospitalsIN$307Ohio: median $387 across 54 hospitalsOH$387Pennsylvania: median $323 across 72 hospitalsPA$323New Jersey: median $894 across 34 hospitalsNJ$894Connecticut: median $537 across 15 hospitalsCT$537Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $619 across 105 hospitalsCA$619Utah: median $369 across 25 hospitalsUT$369Colorado: median $381 across 27 hospitalsCO$381Nebraska: median $329 across 21 hospitalsNE$329Missouri: median $489 across 28 hospitalsMO$489Kentucky: median $284 across 25 hospitalsKY$284West Virginia: median $279 across 19 hospitalsWV$279Virginia: median $304 across 50 hospitalsVA$304Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,577 across 13 hospitalsAZ$1,577New Mexico: median $268 across 14 hospitalsNM$268Kansas: median $287 across 21 hospitalsKS$287Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $150 across 32 hospitalsTN$150North Carolina: median $339 across 33 hospitalsNC$339South Carolina: median $471 across 40 hospitalsSC$471Oklahoma: median $315 across 38 hospitalsOK$315Louisiana: median $243 across 29 hospitalsLA$243Mississippi: median $210 across 22 hospitalsMS$210Alabama: median $234 across 10 hospitalsAL$234Georgia: median $1,398 across 33 hospitalsGA$1,398Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $532 across 104 hospitalsTX$532Florida: median $715 across 52 hospitalsFL$715
Cash price by state, most expensive first. National median $381. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ13$1,577+314%$403 – $1,577
Georgia GA33$1,398+267%$296 – $1,662
New Jersey NJ34$894+135%$257 – $5,110
Massachusetts MA35$716+88%$374 – $1,472
Florida FL52$715+87%$560 – $1,030
Idaho ID12$649+70%$410 – $649
California CA105$619+62%$303 – $1,646
Connecticut CT15$537+41%$266 – $623
Texas TX104$532+39%$276 – $649
Missouri MO28$489+28%$229 – $858
Washington WA42$489+28%$220 – $636
South Carolina SC40$471+24%$242 – $610
Wisconsin WI47$461+21%$331 – $727
Oregon OR37$458+20%$291 – $595
New York NY80$443+16%$256 – $743
Alaska AK11$411+8%$406 – $605
Ohio OH54$387+2%$227 – $694
Iowa IA33$386+1%$221 – $500
Colorado CO27$3810%$295 – $606
Utah UT25$369−3%$328 – $410
Illinois IL71$367−4%$233 – $587
North Dakota ND10$356−7%$217 – $410
Minnesota MN49$351−8%$273 – $705
North Carolina NC33$339−11%$229 – $378
Nebraska NE21$329−14%$266 – $377
Pennsylvania PA72$323−15%$233 – $837
Oklahoma OK38$315−17%$164 – $410
Indiana IN34$307−19%$219 – $595
Maine ME15$306−20%$181 – $477
Virginia VA50$304−20%$145 – $402
Montana MT13$295−23%$228 – $394
Kansas KS21$287−25%$223 – $434
Kentucky KY25$284−25%$208 – $788
West Virginia WV19$279−27%$112 – $673
New Mexico NM14$268−30%$125 – $986
Louisiana LA29$243−36%$145 – $430
Michigan MI57$240−37%$118 – $547
Alabama AL10$234−39%$104 – $464
New Hampshire NH13$217−43%$81 – $481
Mississippi MS22$210−45%$128 – $611
Tennessee TN32$150−61%$145 – $267
Arkansas AR9not enough hospitals filed a usable price
Hawaii HI9not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $381.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,194$402$236 – $782
Children’s16fewer than 20 hospitals
Critical access325$329$205 – $602
Ownership
For-profit138$497$261 – $1,106
Government234$343$204 – $575
Non-profit1,163$385$231 – $727
System affiliation
Part of a system1,277$389$234 – $735
Independent259$332$200 – $596

Cash price vs list price

Median list price (chargemaster)$696
Median cash price$381
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,196 hospitals filed a usable inpatient cash price for this code. The median is $406 and the average of the middle 60% is $444; most fall between $242 and $735.

Cash price percentiles, inpatient, across 1,196 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$174$268$406$683$1,252

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($174 vs $1,252).

Of the 1,278 hospitals that filed this code inpatient, 1,196 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 54 a list price only.

How complete is this

1,536 of the 3,956 hospitals with a price file in our corpus (39%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,642 hospitals that filed this code at all gave us
Usable cash price — counted1,536
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded57
Hospitals that filed this code1,642

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as PR Drainage Abscess Palate/Uvula.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Drainage of an abscess on the palate or uvula (CPT 42000) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42000-drainage-of-an-abscess-on-the-palate-or-uvula