Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Tonsillectomy & Adenoidectomy <Age 12
The hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
Filter by billing methodology
Filter by billing class
48 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $204.69 | $117.68 – $285.25 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $204.69 | $117.68 – $285.25 |
| 4 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $296.54 | $277.61 – $322.11 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $204.69 | $117.68 – $285.25 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $204.69 | $117.68 – $285.25 |
| 8 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 3 | $456.25 | $314.12 – $551.00 |
| 9 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 2 | $333.29 | $314.92 – $342.47 |
| 10 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · outpatient | 2 | $551.00 | $551.00 – $551.00 |
| 11 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $9,976 | $9,927 – $10,024 |
| 12 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $9,976 | $9,927 – $10,024 |
| 13 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $9,976 | $9,927 – $10,024 |
| 14 | Inova Loudoun Hospital Leesburg, VA other · both | 2 | $9,976 | $9,927 – $10,024 |
| 15 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 1 | $10,024 | $10,024 – $10,024 |
| 16 | Inova Mount Vernon Hospital Alexandria, VA other · both | 1 | $9,927 | $9,927 – $9,927 |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $3,259 | $3,259 – $3,259 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $3,725 | $3,311 – $4,138 |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 20 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $4.50 | $4.50 – $4.50 |
| 21 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 23 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 3 | $204.69 | $117.68 – $285.25 |
| 24 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 3 | $204.69 | $117.68 – $285.25 |
| 25 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 1 | $22,113 | $22,113 – $22,113 |
← Payers reporting CPT 42820 · Snapshot 20261108T203506Z-bb90dbab