Price Checker / CPT 42900
How much does Repair Throat Wound cost?
CPT 42900 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is in line with what this normally costs. No need to dispute.
Fair price
$910–$1,050
What this should cost
With insurance
~$2,500
Typical out-of-pocket
Overcharged if over
$1,300
Push back above this
What hospitals charge for Repair Throat Wound
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Kings County Hospital Center Brooklyn, NY | — | — | -100% |
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 Throat Wound
CPT code 42900 refers to repair throat wound (billing description: "Repair throat wound"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $289 in a facility (hospital or surgery center) and $289 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.