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

Repair of a tear in the roof of the mouth, up to 2 cm

CPT 42180the billing code this page is about

Stitched repair of a wound or laceration of the palate measuring 2 centimeters or less.

Hospitals typically charge $618 cash for this outpatient procedure — the median across 685 hospitals that filed a usable cash price; the average of the middle 60% is $697. Most fall between $372 and $1,205 (20th–80th percentile).

Hospitals
685
States
47
Filings dated
Feb 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 685 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
$276$416$618$1,118$1,655

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($276 vs $1,655).

How the prices are spread

$196 – $252: 25 hospitals$196$252 – $326: 42 hospitals$326 – $420: 73 hospitals$326$420 – $543: 80 hospitals$543 – $700: 129 hospitals$543$700 – $904: 69 hospitals$904 – $1,166: 89 hospitals$904$1,166 – $1,505: 43 hospitals$1,505 – $1,942: 49 hospitals$1,505$1,942 – $2,506: 18 hospitals$1,942median $618price bands are equal on a log scale
Hospitals per price band (617 of 685 — the bands cover the 5th to 95th percentile)
FromToHospitals
$196$25225
$252$32642
$326$42073
$420$54380
$543$700129
$700$90469
$904$1,16689
$1,166$1,50543
$1,505$1,94249
$1,942$2,50618

Against Medicare

Medicare pays (OPPS 2026, national rate)$551
Median cash price$618
Cash as a multiple of Medicare1.12×

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 $618.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 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 $984 across 18 hospitalsWA$984Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $424 across 11 hospitalsMN$424Illinois: median $475 across 30 hospitalsIL$475Wisconsin: median $902 across 20 hospitalsWI$902Michigan: median $286 across 14 hospitalsMI$286New York: median $640 across 40 hospitalsNY$640Massachusetts: median $650 across 14 hospitalsMA$650Oregon: median $726 across 23 hospitalsOR$726Nevada: 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 $618 across 21 hospitalsIA$618Indiana: median $581 across 19 hospitalsIN$581Ohio: median $843 across 13 hospitalsOH$843Pennsylvania: median $610 across 35 hospitalsPA$610New Jersey: median $1,264 across 29 hospitalsNJ$1,264Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,024 across 72 hospitalsCA$1,024Utah: median $369 across 19 hospitalsUT$369Colorado: median $674 across 10 hospitalsCO$674Nebraska: median $466 across 19 hospitalsNE$466Missouri: median $374 across 10 hospitalsMO$374Kentucky: median $443 across 10 hospitalsKY$443West Virginia: median $499 across 15 hospitalsWV$499Virginia: median $490 across 10 hospitalsVA$490Maryland: no hospital in the corpus filed a usable priceMDDelaware: 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: median $419 across 10 hospitalsKS$419Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,283 across 10 hospitalsSC$1,283Oklahoma: median $309 across 17 hospitalsOK$309Louisiana: median $278 across 13 hospitalsLA$278Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $606 across 59 hospitalsTX$606Florida: median $907 across 21 hospitalsFL$907
Cash price by state, most expensive first. National median $618. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC10$1,283+107%$630 – $6,006
New Jersey NJ29$1,264+104%$564 – $5,339
California CA72$1,024+66%$602 – $1,641
Washington WA18$984+59%$463 – $1,584
Florida FL21$907+47%$693 – $1,707
Wisconsin WI20$902+46%$530 – $1,125
Ohio OH13$843+36%$493 – $1,149
Oregon OR23$726+17%$463 – $1,375
Colorado CO10$674+9%$403 – $1,331
Massachusetts MA14$650+5%$515 – $1,411
New York NY40$640+4%$551 – $1,519
Iowa IA21$6180%$450 – $618
Pennsylvania PA35$610−1%$127 – $1,673
Texas TX59$606−2%$501 – $742
Indiana IN19$581−6%$235 – $826
West Virginia WV15$499−19%$188 – $1,051
Virginia VA10$490−21%$386 – $752
Illinois IL30$475−23%$272 – $1,138
Nebraska NE19$466−25%$343 – $639
Kentucky KY10$443−28%$235 – $570
Minnesota MN11$424−31%$383 – $679
Kansas KS10$419−32%$308 – $3,355
Missouri MO10$374−40%$357 – $1,072
Utah UT19$369−40%$348 – $410
Oklahoma OK17$309−50%$309 – $372
Michigan MI14$286−54%$226 – $742
Louisiana LA13$278−55%$227 – $417
Georgia GA8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
South Dakota SD1not 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 $618.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care549$636$379 – $1,331
Children’s19fewer than 20 hospitals
Critical access116$489$326 – $1,003
Ownership
For-profit54$606$259 – $1,363
Government92$492$378 – $915
Non-profit538$674$382 – $1,288
System affiliation
Part of a system587$638$380 – $1,288
Independent98$532$326 – $1,088

Cash price vs list price

Median list price (chargemaster)$1,145
Median cash price$618
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

524 hospitals filed a usable inpatient cash price for this code. The median is $618 and the average of the middle 60% is $686; most fall between $362 and $1,264.

Cash price percentiles, inpatient, across 524 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
$276$407$618$1,072$1,641

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($276 vs $1,641).

Of the 560 hospitals that filed this code inpatient, 524 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

685 of the 3,956 hospitals with a price file in our corpus (17%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 738 hospitals that filed this code at all gave us
Usable cash price — counted685
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded23
Hospitals that filed this code738

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 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 Repair Laceration Palate <2 Cm.

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, “Repair of a tear in the roof of the mouth, up to 2 cm (CPT 42180) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42180-repair-of-a-tear-in-the-roof-of-the-mouth-up-to-2-cm