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 Wellmark 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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78 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $5,563 | $5,563 – $5,563 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $520.73 | $270.73 – $671.20 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 2 | $6,048 | $6,048 – $6,048 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $5,660 | $5,660 – $5,660 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $256.24 | $118.85 – $335.60 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $256.24 | $118.85 – $335.60 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $5,632 | $5,632 – $5,632 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $520.73 | $270.73 – $671.20 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $520.73 | $270.73 – $671.20 |
| 10 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $6,048 | $6,048 – $6,048 |
| 11 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $5,633 | $5,633 – $5,633 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $256.24 | $118.85 – $335.60 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $256.24 | $118.85 – $335.60 |
| 14 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $5,632 | $5,632 – $5,632 |
| 15 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $520.73 | $270.73 – $671.20 |
| 16 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $5,210 | $4,967 – $5,454 |
| 17 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $2,202 | $273.35 – $4,131 |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $3,259 | $3,259 – $3,259 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $3,725 | $3,311 – $4,138 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 2 | $6,048 | $6,048 – $6,048 |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $6,316 | $6,316 – $6,316 |
| 22 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 2 | $4.50 | $4.50 – $4.50 |
| 23 | Mercy Medical Center - Dubuque Dubuque, IA facility · other · outpatient | 1 | $5,825 | $5,825 – $5,825 |
| 24 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · outpatient | 2 | $6,048 | $6,048 – $6,048 |
| 25 | Mercy Medical Center - Newton Newton, IA facility · other · outpatient | 1 | $5,660 | $5,660 – $5,660 |
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