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

Partial removal of the roof of the mouth

CPT 42120the billing code this page is about

Resection of palate tissue, or extensive removal of a lesion of the palate, usually for a tumor.

Hospitals typically charge $3,616 cash for this outpatient procedure — the median across 333 hospitals that filed a usable cash price; the average of the middle 60% is $3,973. Most fall between $1,629 and $7,894 (20th–80th percentile).

Hospitals
333
States
45
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 333 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
$1,060$1,691$3,616$7,000$9,422

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,060 vs $9,422).

How the prices are spread

$868 – $1,138: 35 hospitals$868$1,138 – $1,493: 10 hospitals$1,493 – $1,958: 44 hospitals$1,493$1,958 – $2,567: 35 hospitals$2,567 – $3,366: 23 hospitals$2,567$3,366 – $4,414: 21 hospitals$4,414 – $5,787: 35 hospitals$4,414$5,787 – $7,589: 42 hospitals$7,589 – $9,951: 41 hospitals$7,589$9,951 – $13,049: 16 hospitals$9,951median $3,616price bands are equal on a log scale
Hospitals per price band (302 of 333 — the bands cover the 5th to 95th percentile)
FromToHospitals
$868$1,13835
$1,138$1,49310
$1,493$1,95844
$1,958$2,56735
$2,567$3,36623
$3,366$4,41421
$4,414$5,78735
$5,787$7,58942
$7,589$9,95141
$9,951$13,04916

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$3,616
Cash as a multiple of Medicare0.60×

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 $3,616.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,733 across 15 hospitalsIL$1,733Wisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,212 across 27 hospitalsMI$1,212New York: median $7,000 across 27 hospitalsNY$7,000Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,481 across 17 hospitalsIA$2,481Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,084 across 14 hospitalsOH$3,084Pennsylvania: median $2,077 across 19 hospitalsPA$2,077New Jersey: median $6,465 across 30 hospitalsNJ$6,465Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,307 across 31 hospitalsCA$9,307Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 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: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,629 across 13 hospitalsOK$1,629Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,580 across 22 hospitalsTX$4,580Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,616. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA31$9,307+157%$2,323 – $9,307
New York NY27$7,000+94%$2,522 – $7,027
New Jersey NJ30$6,465+79%$4,641 – $6,967
Texas TX22$4,580+27%$4,580 – $5,543
Ohio OH14$3,084−15%$2,155 – $6,383
Iowa IA17$2,481−31%$2,481 – $2,864
Pennsylvania PA19$2,077−43%$612 – $10,001
Illinois IL15$1,733−52%$1,060 – $4,763
Oklahoma OK13$1,629−55%$1,629 – $7,031
Michigan MI27$1,212−66%$1,079 – $1,971
Florida FL9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $3,616.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care293$3,933$1,629 – $8,140
Children’s8fewer than 20 hospitals
Critical access31$2,088$1,079 – $4,675
Ownership
For-profit36$4,580$1,629 – $10,088
Government44$3,137$1,733 – $7,000
Non-profit252$3,474$1,448 – $7,831
System affiliation
Part of a system269$3,904$1,518 – $7,925
Independent64$2,811$1,631 – $6,415

Cash price vs list price

Median list price (chargemaster)$3,519
Median cash price$3,616
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

176 hospitals filed a usable inpatient cash price for this code. The median is $2,481 and the average of the middle 60% is $3,033; most fall between $1,629 and $6,548.

Cash price percentiles, inpatient, across 176 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
$1,060$1,629$2,481$4,763$9,307

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($1,060 vs $9,307).

Of the 185 hospitals that filed this code inpatient, 176 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

333 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 366 hospitals that filed this code at all gave us
Usable cash price — counted333
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
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 — excluded5
Hospitals that filed this code366

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

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

Hospitals file this code under descriptions such as PR Remove Palate/Lesion.

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, “Partial removal of the roof of the mouth (CPT 42120) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42120-partial-removal-of-the-roof-of-the-mouth