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

Opening and draining a sublingual salivary cyst

CPT 42409the billing code this page is about

A salivary cyst under the tongue is opened and its edges stitched open so it drains continuously, rather than being removed entirely.

Hospitals typically charge $2,635 cash for this outpatient procedure — the median across 354 hospitals that filed a usable cash price; the average of the middle 60% is $2,571. Most fall between $555 and $4,627 (20th–80th percentile).

Hospitals
354
States
44
Filings dated
Mar 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 354 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
$344$715$2,635$4,350$7,761

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($344 vs $7,761).

How the prices are spread

$253 – $361: 22 hospitals$253$361 – $515: 27 hospitals$515 – $734: 31 hospitals$515$734 – $1,047: 32 hospitals$1,047 – $1,494: 13 hospitals$1,047$1,494 – $2,130: 14 hospitals$2,130 – $3,039: 29 hospitals$2,130$3,039 – $4,335: 79 hospitals$4,335 – $6,183: 42 hospitals$4,335$6,183 – $8,820: 41 hospitals$6,183median $2,635price bands are equal on a log scale
Hospitals per price band (330 of 354 — the bands cover the 5th to 95th percentile)
FromToHospitals
$253$36122
$361$51527
$515$73431
$734$1,04732
$1,047$1,49413
$1,494$2,13014
$2,130$3,03929
$3,039$4,33579
$4,335$6,18342
$6,183$8,82041

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$2,635
Cash as a multiple of Medicare0.78×

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 $2,635.

Alaska: 2 hospitals 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: 4 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 $699 across 17 hospitalsIL$699Wisconsin: median $5,474 across 12 hospitalsWI$5,474Michigan: median $4,559 across 13 hospitalsMI$4,559New York: median $3,838 across 27 hospitalsNY$3,838Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $894 across 18 hospitalsIA$894Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $3,769 across 26 hospitalsPA$3,769New Jersey: median $4,327 across 31 hospitalsNJ$4,327Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,560 across 42 hospitalsCA$4,560Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $384 across 14 hospitalsOK$384Louisiana: 8 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 $2,635 across 33 hospitalsTX$2,635Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,635. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI12$5,474+108%$1,884 – $5,474
California CA42$4,560+73%$2,159 – $8,820
Michigan MI13$4,559+73%$284 – $6,575
New Jersey NJ31$4,327+64%$3,593 – $5,419
New York NY27$3,838+46%$1,190 – $3,838
Pennsylvania PA26$3,769+43%$151 – $4,783
Texas TX33$2,6350%$2,635 – $3,575
Iowa IA18$894−66%$776 – $894
Illinois IL17$699−73%$344 – $7,761
Oklahoma OK14$384−85%$384 – $5,134
Florida FL9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Oregon OR5not 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
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
Washington WA4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not 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 Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $2,635.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care302$3,110$565 – $4,560
Children’s9fewer than 20 hospitals
Critical access42$894$431 – $5,474
Ownership
For-profit35$2,635$344 – $4,349
Government45$1,148$555 – $3,838
Non-profit273$3,544$565 – $5,474
System affiliation
Part of a system297$3,575$715 – $5,134
Independent57$699$401 – $3,255

Cash price vs list price

Median list price (chargemaster)$3,179
Median cash price$2,635
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

226 hospitals filed a usable inpatient cash price for this code. The median is $1,981 and the average of the middle 60% is $2,181; most fall between $403 and $4,560.

Cash price percentiles, inpatient, across 226 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
$344$597$1,981$4,560$8,795

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($344 vs $8,795).

Of the 242 hospitals that filed this code inpatient, 226 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

354 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 388 hospitals that filed this code at all gave us
Usable cash price — counted354
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 — excluded1
A list price only, no cash figure — excluded3
Hospitals that filed this code388

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 Marsupialization Sublngl Salivary Cst Ranula.

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, “Opening and draining a sublingual salivary cyst (CPT 42409) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42409-opening-and-draining-a-sublingual-salivary-cyst