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

Open biopsy of a salivary gland

CPT 42405the billing code this page is about

A tissue sample is taken from a salivary gland through a surgical incision for laboratory testing.

Hospitals typically charge $1,619 cash for this outpatient procedure — the median across 718 hospitals that filed a usable cash price; the average of the middle 60% is $1,773. Most fall between $489 and $4,050 (20th–80th percentile).

Hospitals
718
States
50
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 718 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
$332$570$1,619$3,418$5,537

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($332 vs $5,537).

How the prices are spread

$244 – $354: 48 hospitals$244$354 – $512: 65 hospitals$512 – $742: 65 hospitals$512$742 – $1,074: 68 hospitals$1,074 – $1,556: 54 hospitals$1,074$1,556 – $2,254: 130 hospitals$2,254 – $3,264: 59 hospitals$2,254$3,264 – $4,728: 103 hospitals$4,728 – $6,848: 41 hospitals$4,728$6,848 – $9,918: 32 hospitals$6,848median $1,619price bands are equal on a log scale
Hospitals per price band (665 of 718 — the bands cover the 5th to 95th percentile)
FromToHospitals
$244$35448
$354$51265
$512$74265
$742$1,07468
$1,074$1,55654
$1,556$2,254130
$2,254$3,26459
$3,264$4,728103
$4,728$6,84841
$6,848$9,91832

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,585
Median cash price$1,619
Cash as a multiple of Medicare1.02×

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 $1,619.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 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 $2,713 across 13 hospitalsWA$2,713Idaho: median $3,296 across 11 hospitalsID$3,296Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,021 across 27 hospitalsMN$1,021Illinois: median $1,065 across 33 hospitalsIL$1,065Wisconsin: median $1,479 across 46 hospitalsWI$1,479Michigan: median $2,133 across 45 hospitalsMI$2,133New York: median $1,753 across 49 hospitalsNY$1,753Massachusetts: median $4,463 across 16 hospitalsMA$4,463Oregon: median $662 across 14 hospitalsOR$662Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $742 across 19 hospitalsIA$742Indiana: median $344 across 19 hospitalsIN$344Ohio: median $1,769 across 30 hospitalsOH$1,769Pennsylvania: median $1,784 across 36 hospitalsPA$1,784New Jersey: median $2,007 across 31 hospitalsNJ$2,007Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,560 across 53 hospitalsCA$4,560Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $1,829 across 11 hospitalsCO$1,829Nebraska: median $620 across 12 hospitalsNE$620Missouri: median $1,265 across 16 hospitalsMO$1,265Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,688 across 14 hospitalsWV$1,688Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $626 across 12 hospitalsKS$626Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $375 across 14 hospitalsOK$375Louisiana: median $1,588 across 17 hospitalsLA$1,588Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,249 across 19 hospitalsGA$3,249Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,418 across 28 hospitalsTX$3,418Florida: median $5,537 across 12 hospitalsFL$5,537
Cash price by state, most expensive first. National median $1,619. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL12$5,537+242%$1,487 – $17,117
California CA53$4,560+182%$2,137 – $9,918
Massachusetts MA16$4,463+176%$2,614 – $5,735
Texas TX28$3,418+111%$953 – $4,523
Idaho ID11$3,296+104%$1,195 – $4,054
Georgia GA19$3,249+101%$3,249 – $9,715
Washington WA13$2,713+68%$593 – $4,596
Michigan MI45$2,133+32%$430 – $3,795
New Jersey NJ31$2,007+24%$1,641 – $5,339
Colorado CO11$1,829+13%$570 – $5,076
Pennsylvania PA36$1,784+10%$166 – $2,401
Ohio OH30$1,769+9%$612 – $1,871
New York NY49$1,753+8%$422 – $3,239
West Virginia WV14$1,688+4%$616 – $1,982
Louisiana LA17$1,588−2%$1,071 – $2,554
Wisconsin WI46$1,479−9%$531 – $1,609
Missouri MO16$1,265−22%$462 – $3,235
Illinois IL33$1,065−34%$422 – $4,347
Minnesota MN27$1,021−37%$552 – $2,032
Iowa IA19$742−54%$742 – $794
Oregon OR14$662−59%$558 – $1,200
Kansas KS12$626−61%$266 – $2,361
Nebraska NE12$620−62%$460 – $1,591
Oklahoma OK14$375−77%$375 – $4,477
Indiana IN19$344−79%$289 – $541
North Carolina NC9not enough hospitals filed a usable price
South Carolina SC9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,619.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care567$1,769$531 – $4,523
Children’s18fewer than 20 hospitals
Critical access132$808$401 – $1,871
Ownership
For-profit53$2,238$616 – $4,523
Government102$1,487$570 – $3,249
Non-profit562$1,609$465 – $4,126
System affiliation
Part of a system579$1,753$527 – $4,347
Independent139$1,020$430 – $2,554

Cash price vs list price

Median list price (chargemaster)$2,374
Median cash price$1,619
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

443 hospitals filed a usable inpatient cash price for this code. The median is $1,769 and the average of the middle 60% is $1,925; most fall between $533 and $4,168.

Cash price percentiles, inpatient, across 443 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
$347$615$1,769$3,795$5,442

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($347 vs $5,442).

Of the 481 hospitals that filed this code inpatient, 443 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

718 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 781 hospitals that filed this code at all gave us
Usable cash price — counted718
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded16
Hospitals that filed this code781

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 Salivary Gland,Incisional.

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, “Open biopsy of a salivary gland (CPT 42405) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42405-open-biopsy-of-a-salivary-gland