Price Checker / CPT 42400
How much does Biopsy Of Salivary Gland cost?
CPT 42400 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 40x the fair price — among the most extreme markups. Dispute this.
Fair price
$140–$280
What this should cost
With insurance
~$2,350
Typical out-of-pocket
Overcharged if over
$350
Push back above this
The average hospital charge of $8,422 is $8,212 over the fair price (about 40x the fair rate).
What hospitals charge for Biopsy Of Salivary Gland
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| WTH Dyersburg Hospital , TN | — | $278 | 36280% |
| Centrastate Medical Center FREEHOLD, NJ | $10,247 | $861 | 10741% |
| UPMC Chautauqua , NY | — | — | 5638% |
| Mosaic Medical Center in Maryville , MO | $3,500 | $2,975 | 3603% |
| Franklin Medical Center WINNSBORO, LA | $2,156 | $1,294 | 2181% |
| Claiborne Memorial Medical Center HOMER, LA | $1,623 | $1,623 | 1617% |
| Community Hospital TORRINGTON, WY | $1,618 | $1,092 | 1612% |
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 Biopsy Of Salivary Gland
CPT code 42400 refers to biopsy of salivary gland (billing description: "Biopsy of salivary gland"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $48 in a facility (hospital or surgery center) and $95 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.