Excision lesion mouth roof (CPT 42104)
42104 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.
11 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 |
|---|---|---|---|---|---|
| Sublette County Health | Pinedale, WY | $294.30 | $327 | $3,387.27 | 0.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $330.30 | $367 | $3,497.42 | 0.1× |
| Sheridan Memorial Hospital | Sheridan, WY | $412 | $515 | $3,387.27 | 0.1× |
| St. John's Medical Center | Jackson, WY | $576 | $576 | $3,387.27 | 0.2× |
| Animas Surgical Hospital | Durango, CO | $811 | $811 | $3,497.42 | 0.2× |
| Parkland Memorial Hospital | Dallas, TX | $849.56 | $2,123.90 | $3,330.57 | 0.3× |
| Aspen Valley Hospital | Aspen, CO | $920 | $920 | $3,497.42 | 0.3× |
| UCHealth University of Colorado Hospital | Aurora, CO | $2,245.25 | $6,415 | $3,497.42 | 0.6× |
| Denver Health Medical Center | Denver, CO | $2,436.39 | $6,961.10 | $3,497.42 | 0.7× |
| Parkview Medical Center | Pueblo, CO | $3,243.08 | $8,107.68 | $3,497.42 | 0.9× |
| Regional West Medical Center | Scottsbluff, NE | $4,864.61 | $8,107.68 | $3,442.75 | 1.4× |
"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.