What does code 42806 cost?

Across the published hospital price files, the disclosed cash price for 42806 ranges from $2,938 to $3,214. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

42806 is the billing code hospitals use to identify "Biopsy of upper nose/throat" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

42806

HCPCS

Biopsy of upper nose/throat

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 42806 (Biopsy of upper nose/throat) appears at 36 hospitals with disclosed cash prices from $2,938 to $3,214. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 42806 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 42806 vary by about 9% across the 26 hospitals with disclosed prices here — from $2,938 to $3,214. Shopping around can matter.

Hospitals

Prices shown

$2,938

Lowest cash

$3,214

Highest cash

code 42806 cash price26 disclosed · 26 hospitals

$2,938median ~$3,018$3,214

Lowest cash price by hospital

Munson Healthcare Charlevoix Hospital$2,938
Paul Oliver Memorial Hospital$2,938
Munson Healthcare Cadillac$2,938
Munson Medical Center$2,938
Antioch Medical Center$3,018
Fremont Medical Center$3,018

Cash price by city

Reflects your current filters.

Cash price by city$2,938 – $3,018

Charlevoix · 1 hospital$2,938
Frankfort · 1 hospital$2,938
Cadillac · 1 hospital$2,938
Traverse City · 1 hospital$2,938
Antioch · 1 hospital$3,018
Fremont · 1 hospital$3,018

39 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Biopsy of upper nose/throat Outpatient	Endeavor Health Edward Hospital	42806 HCPCS	—	—	$433 – $5,724	—
Biopsy of upper nose/throat Outpatient	University of Chicago Medical Center	42806 HCPCS	—	—	—	—
Biopsy Nasopharynx unknown primary lesion 42806 Inpatient	Munson Healthcare Charlevoix Hospital	42806 CPT	$3,456	$2,938	$2,765 – $3,456	—
Biopsy Nasopharynx unknown primary lesion 42806 Outpatient	Paul Oliver Memorial Hospital	42806 CPT	$3,456	$2,938	$1,071 – $3,283	—
Biopsy Nasopharynx unknown primary lesion 42806 Inpatient	Munson Healthcare Cadillac	42806 CPT	$3,456	$2,938	$852 – $2,938	—
Biopsy Nasopharynx unknown primary lesion 42806 Outpatient	Munson Medical Center	42806 CPT	$3,456	$2,938	$1,728 – $8,259	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Antioch Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Fremont Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Fresno Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Oakland Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Redwood City Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Richmond Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Roseville Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Sacramento Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	San Francisco Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	San Jose Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	San Leandro Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	San Rafael Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Santa Clara Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Santa Rosa Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BIOPSY OF UPPER NOSE/THROAT Outpatient	Texas Health Center for Diagnostics and Surgery Plano	42806 CPT	—	—	$887 – $3,524	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	South Sacramento Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	South San Francisco Medical Center	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Stockton Medical Center - Manteca	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—
BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION Inpatient & outpatient	Stockton Medical Center - Modesto	42806 CPT	$5,390	$3,018	$3,919 – $12,272	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 42806 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Munson Healthcare Charlevoix Hospital Paul Oliver Memorial Hospital Munson Healthcare Cadillac Munson Medical Center Antioch Medical Center Fremont Medical Center Fresno Medical Center Oakland Medical Center Redwood City Medical Center Richmond Medical Center Roseville Medical Center Sacramento Medical Center San Francisco Medical Center San Jose Medical Center San Leandro Medical Center San Rafael Medical Center Santa Clara Medical Center Santa Rosa Medical Center Texas Health Center for Diagnostics and Surgery Plano South Sacramento Medical Center South San Francisco Medical Center Stockton Medical Center - Manteca Stockton Medical Center - Modesto Vacaville Medical Center Vallejo Medical Center Walnut Creek Medical Center Orange County Anaheim Medical Center Jefferson Abington Hospital Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital Atrium Health Mercy Atrium Health Union

Code 42806: frequently asked

What does code 42806 cost?: Across the published hospital price files, the disclosed cash price for 42806 ranges from $2,938 to $3,214. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 42806?: 42806 is the billing code hospitals use to identify "Biopsy of upper nose/throat" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 42806 by state

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