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

Stretching of a narrowed salivary duct

CPT 42650the billing code this page is about

A procedure that widens a narrowed salivary gland duct so saliva can drain normally.

Hospitals typically charge $1,444 cash for this outpatient procedure — the median across 525 hospitals that filed a usable cash price; the average of the middle 60% is $1,320. Most fall between $137 and $3,330 (20th–80th percentile).

Hospitals
525
States
50
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 525 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
$97$164$1,444$2,748$5,537

The most expensive tenth of hospitals charges at least 57× what the cheapest tenth charges ($97 vs $5,537).

How the prices are spread

$82 – $125: 72 hospitals$82$125 – $192: 54 hospitals$192 – $293: 30 hospitals$192$293 – $449: 31 hospitals$449 – $687: 19 hospitals$449$687 – $1,051: 20 hospitals$1,051 – $1,608: 40 hospitals$1,051$1,608 – $2,461: 84 hospitals$2,461 – $3,765: 65 hospitals$2,461$3,765 – $5,762: 72 hospitals$3,765median $1,444price bands are equal on a log scale
Hospitals per price band (487 of 525 — the bands cover the 5th to 95th percentile)
FromToHospitals
$82$12572
$125$19254
$192$29330
$293$44931
$449$68719
$687$1,05120
$1,051$1,60840
$1,608$2,46184
$2,461$3,76565
$3,765$5,76272

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,585
Median cash price$1,444
Cash as a multiple of Medicare0.91×

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 $1,444.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,248 across 29 hospitalsIL$1,248Wisconsin: median $423 across 33 hospitalsWI$423Michigan: median $103 across 35 hospitalsMI$103New York: median $1,753 across 29 hospitalsNY$1,753Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $137 across 11 hospitalsOR$137Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $194 across 20 hospitalsIA$194Indiana: median $137 across 18 hospitalsIN$137Ohio: median $237 across 11 hospitalsOH$237Pennsylvania: median $1,833 across 15 hospitalsPA$1,833New Jersey: median $2,007 across 26 hospitalsNJ$2,007Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,063 across 47 hospitalsCA$3,063Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $333 across 11 hospitalsMO$333Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $731 across 10 hospitalsWV$731Virginia: median $1,966 across 17 hospitalsVA$1,966Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 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: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $537 across 20 hospitalsNC$537South Carolina: median $5,762 across 16 hospitalsSC$5,762Oklahoma: median $97 across 13 hospitalsOK$97Louisiana: median $1,256 across 13 hospitalsLA$1,256Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,498 across 23 hospitalsTX$2,498Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,444. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC16$5,762+299%$1,603 – $5,762
California CA47$3,063+112%$1,501 – $5,634
Texas TX23$2,498+73%$1,676 – $2,676
New Jersey NJ26$2,007+39%$1,640 – $5,339
Virginia VA17$1,966+36%$1,323 – $2,733
Pennsylvania PA15$1,833+27%$1,737 – $2,504
New York NY29$1,753+21%$301 – $1,937
Louisiana LA13$1,256−13%$735 – $2,434
Illinois IL29$1,248−14%$103 – $4,444
West Virginia WV10$731−49%$61 – $2,174
North Carolina NC20$537−63%$338 – $652
Wisconsin WI33$423−71%$363 – $1,963
Missouri MO11$333−77%$116 – $1,591
Ohio OH11$237−84%$150 – $1,697
Iowa IA20$194−87%$113 – $194
Indiana IN18$137−91%$83 – $185
Oregon OR11$137−91%$137 – $2,263
Michigan MI35$103−93%$82 – $2,133
Oklahoma OK13$97−93%$97 – $3,020
Idaho ID9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Hampshire NH1not 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 $1,444.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care434$1,638$143 – $3,741
Children’s10fewer than 20 hospitals
Critical access80$195$113 – $1,963
Ownership
For-profit45$1,545$103 – $2,605
Government75$537$131 – $1,753
Non-profit404$1,591$138 – $3,986
System affiliation
Part of a system443$1,619$143 – $3,786
Independent82$245$106 – $1,744

Cash price vs list price

Median list price (chargemaster)$1,120
Median cash price$1,444
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

335 hospitals filed a usable inpatient cash price for this code. The median is $1,202 and the average of the middle 60% is $1,373; most fall between $139 and $3,475.

Cash price percentiles, inpatient, across 335 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
$97$164$1,202$3,063$5,634

The most expensive tenth of hospitals charges at least 58× what the cheapest tenth charges ($97 vs $5,634).

Of the 363 hospitals that filed this code inpatient, 335 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

525 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 581 hospitals that filed this code at all gave us
Usable cash price — counted525
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
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 code581

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 Other non-OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as PR Dilation of Salivary Duct.

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, “Stretching of a narrowed salivary duct (CPT 42650) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42650-stretching-of-a-narrowed-salivary-duct