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
HB Adenoidectomy Primary <Age 12
Low
$271
Average
$3.2k
Median
$2.5k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 4.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 381 | $4.3k | $5.6k | $4.4k | 78% | 120–219 | $1 – $41.4k |
| 2 | Tricare facility · fee schedule · outpatient · +14 other terms | 42 | $3.3k | $4.2k | $2.2k | 51% | 34–43 | $168 – $10.7k |
| 3 | Aetna fee schedule · outpatient · +28 other terms | 493 | $3.5k | $4.4k | $4.3k | 97% | 28–37 | $20 – $48.0k |
| 4 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 556 | $3.2k | $3.6k | $4.3k | 120% | 24–87 | $50 – $95.3k |
| 5 | MultiPlan case rate · outpatient · +19 other terms | 35 | $6.4k | $7.3k | $2.6k | 36% | 22 | $1.1k – $11.5k |
| 6 | Bcbs Al facility · other · outpatient · +3 other terms | 4 | $2.8k | $2.9k | $308 | 10% | 17–44 | $2.6k – $3.4k |
| 7 | Molina fee schedule · outpatient · +23 other terms | 229 | $2.2k | $1.9k | $1.7k | 89% | 6–60 | $1 – $9.2k |
| 8 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $4.0k | $4.6k | $1.5k | 32% | 6–60 | $1.4k – $7.9k |
| 9 | Cigna case rate · outpatient · +24 other terms | 346 | $6.7k | $7.9k | $5.6k | 71% | 5–50 | $82 – $40.7k |
| 10 | Amerihealth Caritas case rate · outpatient · +10 other terms | 35 | $700 | $5.0k | $4.3k | 85% | 4–40 | $662 – $10.5k |
| 11 | Anthem fee schedule · outpatient · +22 other terms | 128 | $2.2k | $2.5k | $4.0k | 161% | 3–30 | $135 – $24.3k |
| 12 | Kaiser fee schedule · outpatient · +18 other terms | 99 | $4.1k | $4.7k | $4.1k | 87% | 3–30 | $36 – $22.4k |
| 13 | Premera facility · fee schedule · outpatient · +8 other terms | 12 | $3.4k | $3.1k | $459 | 15% | 1–10 | $2.4k – $4.2k |
| 14 | Bcbs In other · outpatient | 5 | $11.2k | $10.2k | $3.2k | 31% | 1–10 | $5.7k – $13.8k |
| 15 | Bcbs Ms fee schedule · outpatient | 4 | $1.4k | $1.4k | $28 | 2% | 1–10 | $1.4k – $1.4k |
| 16 | Humana fee schedule · outpatient · +24 other terms | 387 | $3.2k | $2.8k | $1.6k | 60% | — | $1 – $16.7k |
| 17 | WellCare fee schedule · outpatient · +16 other terms | 192 | $3.4k | $3.4k | $1.2k | 36% | — | $185 – $7.6k |
| 18 | Oscar case rate · outpatient · +17 other terms | 136 | $5.6k | $5.3k | $1.5k | 28% | — | $2.4k – $10.1k |
| 19 | Ambetter fee schedule · outpatient · +14 other terms | 85 | $5.4k | $4.4k | $2.4k | 55% | — | $274 – $8.0k |
| 20 | Aetna Better Health fee schedule · outpatient · +11 other terms | 77 | $1.1k | $1.3k | $958 | 76% | — | $194 – $11.4k |
| 21 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.2k | $977 | 23% | — | $2.7k – $5.5k |
| 22 | Devoted fee schedule · outpatient · +9 other terms | 75 | $3.4k | $3.0k | $1.1k | 35% | — | $198 – $3.7k |
| 23 | Caresource fee schedule · outpatient · +12 other terms | 57 | $3.1k | $2.5k | $1.5k | 59% | — | $200 – $5.7k |
| 24 | Highmark facility · fee schedule · outpatient · +11 other terms | 47 | $3.4k | $3.5k | $2.4k | 70% | — | $196 – $11.5k |
| 25 | Optum fee schedule · outpatient · +20 other terms | 43 | $3.0k | $3.3k | $2.8k | 85% | — | $211 – $12.2k |
← Hospitals reporting CPT 42830 · Snapshot 20261111T120946Z-9134e7f7