Unlisted throat, adenoid, or tonsil procedure 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

42999 UNLSTD PROC PHRNX/ADENOI

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $625 is 67% above the median hospital's median price ($375), higher than 66% of the 1,656 hospitals reporting CPT 42999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42999 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 percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
6	Blue Cross Blue Shield exchange case rate · outpatient	$234	$234	—	—	—	$234 – $234
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$238	$238	—	—	—	$238 – $238
8	Humana medicare advantage case rate · outpatient	$248	$248	—	—	—	$248 – $248
9	Humana medicare advantage ppo case rate · outpatient	$248	$248	—	—	—	$248 – $248
10	Molina medicare advantage case rate · outpatient	$250	$250	—	—	—	$250 – $250
11	WellCare medicare advantage hmo case rate · outpatient	$250	$250	—	—	—	$250 – $250
12	WellCare medicare advantage mmp case rate · outpatient	$262	$262	—	—	—	$262 – $262
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$265	$265	—	—	—	$265 – $265
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$269	$269	—	—	—	$269 – $269
15	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
16	Blue Cross Blue Shield hmo case rate · outpatient	$479	$479	—	—	—	$479 – $479
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$479	$479	—	—	—	$479 – $479
18	Blue Cross Blue Shield ppo case rate · outpatient	$532	$532	—	—	—	$532 – $532
19	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$625	$625	—	—	—	$625 – $625
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$638	$638	—	—	—	$638 – $638
21	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$718	$718	—	—	—	$718 – $718
22	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$718	$718	—	—	—	$718 – $718
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$785	$785	—	—	—	$785 – $785
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$788	$788	—	—	—	$788 – $788
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$792	$792	—	—	—	$792 – $792

Page 1 of 2 · 35 rates

Last updated: Apr 21, 2026

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