Drainage of a tonsil abscess at AMH Cath Labs LLC

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

42700 I&D PERITONSILLAR ABSCSS

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $283 is 24% below the median hospital's median price ($374), higher than 32% of the 2,145 hospitals reporting CPT 42700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42700 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 35 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
3	WellCare managed medicaid fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
4	Molina managed medicaid fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
5	Aetna managed medicaid fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$200	$200	—	—	—	$200 – $200
8	Blue Cross Blue Shield exchange case rate · outpatient	$234	$234	—	—	—	$234 – $234
9	Blue Cross Blue Shield medicare advantage case rate · outpatient	$238	$238	—	—	—	$238 – $238
10	Humana medicare advantage case rate · outpatient	$248	$248	—	—	—	$248 – $248
11	Humana medicare advantage ppo case rate · outpatient	$248	$248	—	—	—	$248 – $248
12	Molina medicare advantage case rate · outpatient	$250	$250	—	—	—	$250 – $250
13	WellCare medicare advantage hmo case rate · outpatient	$250	$250	—	—	—	$250 – $250
14	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
15	WellCare medicare advantage mmp case rate · outpatient	$262	$262	—	—	—	$262 – $262
16	UnitedHealthcare medicare advantage ppo case rate · outpatient	$265	$265	—	—	—	$265 – $265
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
18	UnitedHealthcare medicare advantage hmo case rate · outpatient	$269	$269	—	—	—	$269 – $269
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
20	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$300	$300	—	—	—	$300 – $300
21	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$328	$328	—	—	—	$328 – $328
22	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$329	$329	—	—	—	$329 – $329
23	Aetna asa percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
24	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
25	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$351	$351	—	—	—	$351 – $351

Page 1 of 2 · 35 rates

Last updated: Apr 21, 2026

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