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

Simple control of bleeding in the mouth or throat

CPT code CPT 42960the billing code this page is about

Straightforward measures such as packing or cautery to stop bleeding at the back of the mouth or throat, often after a tonsil operation.

Hospitals typically charge $565 cash for this outpatient procedure — the median across 1,230 hospitals that filed a usable cash price; the average of the middle 60% is $589. Most fall between $260 and $1,242 (20th–80th percentile).

Hospitals
1,230
States
48
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 1,230 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
$184$299$565$960$1,947

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($184 vs $1,947).

How the prices are spread

$146 – $201: 92 hospitals$146$201 – $276: 118 hospitals$276 – $380: 154 hospitals$276$380 – $521: 145 hospitals$521 – $716: 201 hospitals$521$716 – $984: 156 hospitals$984 – $1,351: 93 hospitals$984$1,351 – $1,856: 78 hospitals$1,856 – $2,550: 31 hospitals$1,856$2,550 – $3,502: 40 hospitals$2,550median $565price bands are equal on a log scale
Hospitals per price band (1,108 of 1,230 — the bands cover the 5th to 95th percentile)
FromToHospitals
$146$20192
$201$276118
$276$380154
$380$521145
$521$716201
$716$984156
$984$1,35193
$1,351$1,85678
$1,856$2,55031
$2,550$3,50240

Against Medicare

Medicare pays (OPPS 2026, national rate)$551
Median cash price$565
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 $565.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $258 across 10 hospitalsME$258Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $472 across 51 hospitalsWA$472Idaho: median $687 across 12 hospitalsID$687Montana: median $273 across 10 hospitalsMT$273North Dakota: median $633 across 11 hospitalsND$633Minnesota: median $517 across 49 hospitalsMN$517Illinois: median $475 across 51 hospitalsIL$475Wisconsin: median $740 across 46 hospitalsWI$740Michigan: median $615 across 51 hospitalsMI$615New York: median $603 across 61 hospitalsNY$603Massachusetts: median $1,252 across 26 hospitalsMA$1,252Oregon: median $472 across 32 hospitalsOR$472Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,303 across 10 hospitalsSD$1,303Iowa: median $410 across 28 hospitalsIA$410Indiana: median $199 across 27 hospitalsIN$199Ohio: median $638 across 55 hospitalsOH$638Pennsylvania: median $674 across 60 hospitalsPA$674New Jersey: median $2,012 across 31 hospitalsNJ$2,012Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $998 across 85 hospitalsCA$998Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $472 across 23 hospitalsCO$472Nebraska: median $326 across 25 hospitalsNE$326Missouri: median $383 across 22 hospitalsMO$383Kentucky: median $225 across 15 hospitalsKY$225West Virginia: median $600 across 14 hospitalsWV$600Virginia: median $802 across 40 hospitalsVA$802Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $456 across 16 hospitalsKS$456Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $212 across 23 hospitalsTN$212North Carolina: median $309 across 23 hospitalsNC$309South Carolina: median $944 across 24 hospitalsSC$944Oklahoma: median $260 across 29 hospitalsOK$260Louisiana: median $280 across 19 hospitalsLA$280Mississippi: median $171 across 25 hospitalsMS$171Alabama: median $901 across 11 hospitalsAL$901Georgia: median $580 across 27 hospitalsGA$580Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $682 across 71 hospitalsTX$682Florida: median $1,121 across 37 hospitalsFL$1,121
Cash price by state, most expensive first. National median $565. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ31$2,012+256%$564 – $5,110
South Dakota SD10$1,303+131%$215 – $1,303
Massachusetts MA26$1,252+122%$582 – $1,807
Florida FL37$1,121+98%$807 – $1,904
California CA85$998+77%$480 – $1,450
South Carolina SC24$944+67%$459 – $4,872
Alabama AL11$901+60%$478 – $4,280
Virginia VA40$802+42%$212 – $951
Wisconsin WI46$740+31%$299 – $1,314
Idaho ID12$687+22%$326 – $1,423
Texas TX71$682+21%$469 – $741
Pennsylvania PA60$674+19%$158 – $1,349
Ohio OH55$638+13%$330 – $939
North Dakota ND11$633+12%$378 – $835
Michigan MI51$615+9%$220 – $2,212
New York NY61$603+7%$417 – $1,102
West Virginia WV14$600+6%$184 – $864
Georgia GA27$580+3%$316 – $652
Minnesota MN49$517−8%$391 – $612
Illinois IL51$475−16%$285 – $3,236
Colorado CO23$472−16%$244 – $933
Oregon OR32$472−16%$317 – $1,115
Washington WA51$472−16%$253 – $894
Kansas KS16$456−19%$331 – $1,744
Iowa IA28$410−27%$235 – $649
Missouri MO22$383−32%$254 – $1,272
Nebraska NE25$326−42%$188 – $435
North Carolina NC23$309−45%$309 – $719
Louisiana LA19$280−50%$168 – $799
Montana MT10$273−52%$142 – $436
Oklahoma OK29$260−54%$134 – $487
Maine ME10$258−54%$165 – $542
Kentucky KY15$225−60%$177 – $340
Tennessee TN23$212−62%$166 – $308
Indiana IN27$199−65%$181 – $672
Mississippi MS25$171−70%$127 – $524
Arkansas AR9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Utah UT3not 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 $565.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care968$603$270 – $1,276
Children’s20$802$322 – $1,741
Critical access238$378$220 – $776
Ownership
For-profit104$656$220 – $1,374
Government180$507$301 – $1,004
Non-profit942$560$254 – $1,252
System affiliation
Part of a system1,020$580$260 – $1,262
Independent210$474$259 – $1,040

Cash price vs list price

Median list price (chargemaster)$904
Median cash price$565
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

941 hospitals filed a usable inpatient cash price for this code. The median is $559 and the average of the middle 60% is $585; most fall between $260 and $1,121.

Cash price percentiles, inpatient, across 941 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
$184$309$559$951$1,547

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($184 vs $1,547).

Of the 1,007 hospitals that filed this code inpatient, 941 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 37 a list price only.

How complete is this

1,230 of the 3,956 hospitals with a price file in our corpus (31%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,332 hospitals that filed this code at all gave us
Usable cash price — counted1,230
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded42
Hospitals that filed this code1,332

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.

Hospitals file this code under descriptions such as Control Oropharyngeal Hemorrhage Simple.

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, “Simple control of bleeding in the mouth or throat (CPT 42960) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42960-simple-control-of-bleeding-in-the-mouth-or-throat