Price Checker / CPT 42975
How much does Dise Evaluation Slp Do Brth Flx Diagnostic cost?
CPT 42975 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 55x the fair price — among the most extreme markups. Dispute this.
Fair price
$130–$250
What this should cost
With insurance
~$2,500
Typical out-of-pocket
Overcharged if over
$310
Push back above this
The average hospital charge of $10,427 is $10,237 over the fair price (about 55x the fair rate).
What hospitals charge for Dise Evaluation Slp Do Brth Flx Diagnostic
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Mather Hospital , NY | — | $4,595 | 22110% |
| Lenox Hill Hospital NEW YORK, NY | — | $4,595 | 15598% |
| "Cohen Children's Medical Center" , NY | — | $4,595 | 14595% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $4,595 | 14595% |
| Zucker Hillside Hospital , NY | — | $4,595 | 14595% |
| Animas Surgical Hospital , CO | $828 | — | 13104% |
| Huntington Hospital PASADENA, NY | — | $4,595 | 12988% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 12988% |
| Long Island Jewish Valley Stream , NY | — | $4,595 | 12988% |
| North Shore University Hospital MANHASSET, NY | — | $4,595 | 12988% |
| Plainview Hospital PLAINVIEW, NY | — | $4,595 | 12988% |
| Syosset Hospital , NY | — | $4,595 | 12988% |
| Glen Cove Hospital , NY | — | $4,595 | 11960% |
| Staten Island University Hospital STATEN ISLAND, NY | — | $4,595 | 11092% |
| South Shore University Hospital , NY | — | $4,595 | 11046% |
Were you billed for this procedure?
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About Dise Evaluation Slp Do Brth Flx Diagnostic
CPT code 42975 refers to dise evaluation slp do brth flx diagnostic (billing description: "Dise eval slp do brth flx dx"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $84 in a facility (hospital or surgery center) and $84 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.