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
Unlisted Procedure Pharynx Adenoids/Tonsils
Low
$1
Average
$977
Median
$641
High
$4.0k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 64.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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48 hospital rates
iThe hospitals that file a Medicaid 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $194 | $194 | — | — | 2–20 | $194 – $194 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $145 | $135 | $14 | 10% | — | $116 – $145 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $110 | $11 | 10% | — | $94 – $117 |
| 5 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 7 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 10 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 11 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 12 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Henry Ford Health Novi, MI other · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 14 | Henry Ford Health Twp, MI other · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 15 | Henry Ford Health Southfield, MI other · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 16 | Henry Ford Health Rochester, MI other · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 17 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 18 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 20 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 21 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 22 | McLeod Health Dillon, SC fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | McLeod Health Cheraw, SC fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | McLeod Health Manning, SC fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | McLeod Health Florence, SC fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting CPT 42999 · Snapshot 20261112T124536Z-e251e855