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Procedure price report · Diagnostic procedures on nose, mouth and pharynx

Biopsy of the palate or uvula

CPT 42100the billing code this page is about

Removal of a small tissue sample from the roof of the mouth or uvula for laboratory examination.

Hospitals typically charge $1,119 cash for this outpatient procedure — the median across 801 hospitals that filed a usable cash price; the average of the middle 60% is $1,138. Most fall between $266 and $2,501 (20th–80th percentile).

Hospitals
801
States
49
Filings dated
Jun 2024 – 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 801 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
$178$302$1,119$2,133$3,986

The most expensive tenth of hospitals charges at least 22× what the cheapest tenth charges ($178 vs $3,986).

How the prices are spread

$135 – $195: 61 hospitals$135$195 – $282: 83 hospitals$282 – $408: 66 hospitals$282$408 – $590: 61 hospitals$590 – $854: 43 hospitals$590$854 – $1,235: 63 hospitals$1,235 – $1,788: 125 hospitals$1,235$1,788 – $2,588: 111 hospitals$2,588 – $3,745: 61 hospitals$2,588$3,745 – $5,419: 47 hospitals$3,745median $1,119price bands are equal on a log scale
Hospitals per price band (721 of 801 — the bands cover the 5th to 95th percentile)
FromToHospitals
$135$19561
$195$28283
$282$40866
$408$59061
$590$85443
$854$1,23563
$1,235$1,788125
$1,788$2,588111
$2,588$3,74561
$3,745$5,41947

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,585
Median cash price$1,119
Cash as a multiple of Medicare0.71×

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 $1,119.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $622 across 15 hospitalsWA$622Idaho: median $1,119 across 11 hospitalsID$1,119Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $360 across 24 hospitalsMN$360Illinois: median $750 across 41 hospitalsIL$750Wisconsin: median $495 across 48 hospitalsWI$495Michigan: median $903 across 43 hospitalsMI$903New York: median $1,753 across 48 hospitalsNY$1,753Massachusetts: median $1,664 across 13 hospitalsMA$1,664Oregon: median $416 across 26 hospitalsOR$416Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $365 across 25 hospitalsIA$365Indiana: median $874 across 21 hospitalsIN$874Ohio: median $1,404 across 38 hospitalsOH$1,404Pennsylvania: median $1,737 across 33 hospitalsPA$1,737New Jersey: median $2,007 across 33 hospitalsNJ$2,007Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,945 across 58 hospitalsCA$1,945Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,510 across 11 hospitalsCO$2,510Nebraska: median $363 across 19 hospitalsNE$363Missouri: median $713 across 18 hospitalsMO$713Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $351 across 14 hospitalsWV$351Virginia: median $1,023 across 18 hospitalsVA$1,023Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,386 across 25 hospitalsNC$1,386South Carolina: median $1,603 across 10 hospitalsSC$1,603Oklahoma: median $181 across 13 hospitalsOK$181Louisiana: median $895 across 15 hospitalsLA$895Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,606 across 33 hospitalsTX$1,606Florida: median $2,598 across 26 hospitalsFL$2,598
Cash price by state, most expensive first. National median $1,119. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL26$2,598+132%$1,438 – $5,537
Colorado CO11$2,510+124%$671 – $4,046
New Jersey NJ33$2,007+79%$1,641 – $5,339
California CA58$1,945+74%$1,486 – $2,139
New York NY48$1,753+57%$293 – $3,205
Pennsylvania PA33$1,737+55%$74 – $2,504
Massachusetts MA13$1,664+49%$838 – $2,309
Texas TX33$1,606+43%$896 – $2,795
South Carolina SC10$1,603+43%$179 – $2,666
Ohio OH38$1,404+25%$314 – $4,429
North Carolina NC25$1,386+24%$571 – $1,386
Idaho ID11$1,1190%$845 – $4,054
Virginia VA18$1,023−9%$243 – $1,177
Michigan MI43$903−19%$204 – $3,406
Louisiana LA15$895−20%$635 – $2,238
Indiana IN21$874−22%$151 – $1,317
Illinois IL41$750−33%$293 – $2,534
Missouri MO18$713−36%$207 – $1,606
Washington WA15$622−44%$266 – $2,062
Wisconsin WI48$495−56%$269 – $1,189
Oregon OR26$416−63%$266 – $3,741
Iowa IA25$365−67%$282 – $537
Nebraska NE19$363−68%$223 – $1,093
Minnesota MN24$360−68%$249 – $711
West Virginia WV14$351−69%$172 – $1,921
Oklahoma OK13$181−84%$181 – $2,583
Georgia GA9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT1not 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 $1,119.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care634$1,404$288 – $2,672
Children’s11fewer than 20 hospitals
Critical access155$379$207 – $1,317
Ownership
For-profit59$1,486$257 – $3,401
Government132$857$248 – $1,753
Non-profit609$1,177$267 – $2,510
System affiliation
Part of a system662$1,350$269 – $2,598
Independent139$452$219 – $1,697

Cash price vs list price

Median list price (chargemaster)$1,586
Median cash price$1,119
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

512 hospitals filed a usable inpatient cash price for this code. The median is $1,093 and the average of the middle 60% is $1,118; most fall between $262 and $2,583.

Cash price percentiles, inpatient, across 512 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
$169$292$1,093$2,139$3,558

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($169 vs $3,558).

Of the 556 hospitals that filed this code inpatient, 512 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

801 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 874 hospitals that filed this code at all gave us
Usable cash price — counted801
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded22
Hospitals that filed this code874

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 Diagnostic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as PR Biopsy 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, “Biopsy of the palate or uvula (CPT 42100) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42100-biopsy-of-the-palate-or-uvula