Price Checker / CPT 42182
How much does Repair Palate cost?
CPT 42182 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 17x the fair price — among the most extreme markups. Dispute this.
Fair price
$490–$990
What this should cost
With insurance
~$3,500
Typical out-of-pocket
Overcharged if over
$1,250
Push back above this
The average hospital charge of $12,714 is $11,974 over the fair price (about 17x the fair rate).
What hospitals charge for Repair Palate
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Braxton County Memorial Hospital Gassawy, WV | $14,684 | — | 4229% |
| Jackson General Hospital Ripley, WV | $14,951 | — | 4217% |
| Barnesville Hospital Barnesville, OH | $14,016 | — | 3947% |
| St. Joseph's Hospital Buckhannon, WV | $13,350 | — | 3755% |
| Summersville Regional Medical Center Summersville, WV | $13,350 | — | 3755% |
| Wetzel County Hospital New Martinsville, WV | $13,349 | — | 3755% |
| Potomac Valley Hospital Keyser, WV | $10,985 | — | 3197% |
| UPMC Bedford , PA | $7,030 | $5,624 | 2037% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Repair Palate
CPT code 42182 refers to repair palate (billing description: "Repair palate"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $228 in a facility (hospital or surgery center) and $329 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.