Price Checker / CPT 42808
How much does Excise Pharynx Lesion cost?
CPT 42808 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 37x the fair price — among the most extreme markups. Dispute this.
Fair price
$350–$700
What this should cost
With insurance
~$2,800
Typical out-of-pocket
Overcharged if over
$880
Push back above this
The average hospital charge of $19,458 is $18,928 over the fair price (about 37x the fair rate).
What hospitals charge for Excise Pharynx Lesion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Castleview Hospital PRICE, UT | $19,458 | — | 8199% |
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 Excise Pharynx Lesion
CPT code 42808 refers to excise pharynx lesion (billing description: "Excise pharynx lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $148 in a facility (hospital or surgery center) and $234 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.