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 Premera 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.
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56 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 | 1 | $285.25 | $285.25 – $285.25 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $285.25 | $285.25 – $285.25 |
| 4 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $923.07 | $923.07 – $923.07 |
| 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 | 1 | $285.25 | $285.25 – $285.25 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $285.25 | $285.25 – $285.25 |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $24,784 | $24,784 – $24,784 |
| 9 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $13,353 | $6,906 – $19,597 |
| 10 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $13,353 | $6,906 – $19,597 |
| 11 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $19,886 | $9,378 – $26,889 |
| 12 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $18,504 | $7,101 – $25,413 |
| 13 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $13,411 | $6,782 – $17,757 |
| 14 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $19,886 | $9,378 – $26,889 |
| 15 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $3,259 | $3,259 – $3,259 |
| 16 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $3,725 | $3,311 – $4,138 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $4.50 | $4.50 – $4.50 |
| 19 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 20 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · outpatient | 1 | $6,048 | $6,048 – $6,048 |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 1 | $285.25 | $285.25 – $285.25 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 1 | $285.25 | $285.25 – $285.25 |
| 23 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 1 | $22,113 | $22,113 – $22,113 |
| 24 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 1 | $232.20 | $232.20 – $232.20 |
| 25 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 1 | $232.20 | $232.20 – $232.20 |
← Payers reporting CPT 42820 · Snapshot 20261108T203506Z-bb90dbab