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

Total parotid gland removal including the facial nerve

CPT 42425the billing code this page is about

Removal of the entire parotid salivary gland as a single block of tissue, with the facial nerve cut and removed along with it.

Hospitals typically charge $3,489 cash for this outpatient procedure — the median across 268 hospitals that filed a usable cash price; the average of the middle 60% is $4,292. Most fall between $1,336 and $8,803 (20th–80th percentile).

Hospitals
268
States
38
Filings dated
Mar 2023 – 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 268 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
$857$1,390$3,489$8,140$14,319

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($857 vs $14,319).

How the prices are spread

$828 – $1,110: 26 hospitals$828$1,110 – $1,488: 34 hospitals$1,488 – $1,995: 27 hospitals$1,488$1,995 – $2,675: 19 hospitals$2,675 – $3,585: 18 hospitals$2,675$3,585 – $4,806: 9 hospitals$4,806 – $6,443: 17 hospitals$4,806$6,443 – $8,636: 44 hospitals$8,636 – $11,577: 23 hospitals$8,636$11,577 – $15,519: 28 hospitals$11,577median $3,489price bands are equal on a log scale
Hospitals per price band (245 of 268 — the bands cover the 5th to 95th percentile)
FromToHospitals
$828$1,11026
$1,110$1,48834
$1,488$1,99527
$1,995$2,67519
$2,675$3,58518
$3,585$4,8069
$4,806$6,44317
$6,443$8,63644
$8,636$11,57723
$11,577$15,51928

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,048
Median cash price$3,489
Cash as a multiple of Medicare0.58×

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 $3,489.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 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: 6 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,489 across 12 hospitalsIL$1,489Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $857 across 18 hospitalsMI$857New York: median $7,000 across 21 hospitalsNY$7,000Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,075 across 16 hospitalsIA$2,075Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,489 across 12 hospitalsOH$3,489Pennsylvania: median $639 across 18 hospitalsPA$639New Jersey: median $6,548 across 29 hospitalsNJ$6,548Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,319 across 27 hospitalsCA$14,319Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 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 $1,390 across 12 hospitalsOK$1,390Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,803 across 20 hospitalsTX$8,803Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,489. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA27$14,319+310%$2,362 – $14,319
Texas TX20$8,803+152%$8,803 – $8,803
New York NY21$7,000+101%$6,048 – $7,027
New Jersey NJ29$6,548+88%$4,881 – $7,659
Ohio OH12$3,4890%$1,641 – $3,794
Iowa IA16$2,075−41%$2,075 – $2,075
Illinois IL12$1,489−57%$1,336 – $2,722
Oklahoma OK12$1,390−60%$1,390 – $1,390
Michigan MI18$857−75%$857 – $8,140
Pennsylvania PA18$639−82%$520 – $10,001
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not 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
Wyoming WY1not 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 $3,489.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care235$3,986$1,369 – $8,803
Children’s5fewer than 20 hospitals
Critical access27$1,783$1,325 – $8,803
Ownership
For-profit24$2,942$1,336 – $9,422
Government35$2,085$1,327 – $7,000
Non-profit208$3,786$1,345 – $8,803
System affiliation
Part of a system220$4,627$1,336 – $8,803
Independent48$1,871$1,369 – $6,957

Cash price vs list price

Median list price (chargemaster)$2,905
Median cash price$3,489
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

152 hospitals filed a usable inpatient cash price for this code. The median is $2,075 and the average of the middle 60% is $3,351; most fall between $1,336 and $9,186.

Cash price percentiles, inpatient, across 152 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
$982$1,347$2,075$8,803$14,319

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($982 vs $14,319).

Of the 161 hospitals that filed this code inpatient, 152 gave a usable cash price; 6 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

268 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 296 hospitals that filed this code at all gave us
Usable cash price — counted268
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 code296

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 Excision Parotid Tumor/Gland Total en Bloc Rmvl.

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, “Total parotid gland removal including the facial nerve (CPT 42425) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42425-total-parotid-gland-removal-including-the-facial-nerve