Biopsy roof of mouth (CPT 42100)
42100 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
16 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Spanish Peaks Regional Health Center | Walsenburg, CO | $223.20 | $248 | $1,636.74 | 0.1× |
| St. John's Medical Center | Jackson, WY | $398 | $398 | $1,585.19 | 0.3× |
| Cody Regional Health | Cody, WY | $423.30 | $498 | $1,585.19 | 0.3× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $451 | $451 | $1,585.19‡ | 0.3× |
| Sheridan Memorial Hospital | Sheridan, WY | $472.80 | $591 | $1,585.19 | 0.3× |
| Aspen Valley Hospital | Aspen, CO | $671 | $671 | $1,636.74 | 0.4× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $1,000 | $1,250 | $1,636.74 | 0.6× |
| Denver Health Medical Center | Denver, CO | $1,036.42 | $2,961.20 | $1,636.74 | 0.6× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,124.20 | $3,212 | $1,636.74 | 0.7× |
| Parkland Memorial Hospital | Dallas, TX | $1,288.42 | $3,221.05 | $1,558.65 | 0.8× |
| National Jewish Health | Denver, CO | $2,510.20 | $3,586 | $1,636.74 | 1.5× |
| AdventHealth Porter | Denver, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| AdventHealth Avista | Louisville, CO | $4,045.88 | $4,045.88 | $1,654.91 | 2.4× |
| AdventHealth Littleton | Littleton, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| AdventHealth Parker | Parker, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $4,045.88 | $4,045.88 | $1,636.74 | 2.5× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list — no outpatient price posted.