Adenoid removal surgery for children under 12 at Astera Health

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

Adenoidectomy, Primary; Younger Than Age 12 (Pro CAH)

Wadena, MN

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Pricing by billing methodology

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How this price compares nationally

Astera Health’s median price of $308 is 91% below the median hospital's median price ($3.5k), higher than 10% of the 1,863 hospitals reporting CPT 42830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42830 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 48 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	Sanford Health Plan sanford health plan [100578] fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
2	Ucare ucare pmap [300063] fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
3	Medica medica mncare [100751] fee schedule · inpatient	$159	$159	—	—	—	$159 – $159
4	Medica medica mncare [100751] fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
5	Medica medica pmap [100345] fee schedule · inpatient	$159	$159	—	—	—	$159 – $159
6	Medica medica pmap [100345] fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
7	Ucare ucare pmap [300063] fee schedule · inpatient	$174	$174	—	—	—	$174 – $174
8	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · inpatient	$205	$205	—	—	—	$205 – $205
9	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
10	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
11	Medica mr-medica advantage solutions [100895] fee schedule · inpatient	$205	$205	—	—	—	$205 – $205
12	Medica mr-medica advantage solutions [100895] fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
13	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
14	Medica mr-medica dual solutions msho [100344] fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
15	Ucare mr-ucare [300064] fee schedule · inpatient	$205	$205	—	—	—	$205 – $205
16	Ucare mr-ucare [300064] fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
17	Ucare mr-ucare msho [300061] fee schedule · inpatient	$205	$205	—	—	—	$205 – $205
18	Ucare mr-ucare msho [300061] fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
19	UnitedHealthcare united healthcare [100453] fee schedule · inpatient	$269	$269	—	—	—	$269 – $269
20	UnitedHealthcare united healthcare [100453] fee schedule · outpatient	$269	$269	—	—	—	$269 – $269
21	Sanford Health Plan sanford health plan [100578] fee schedule · inpatient	$347	$347	—	—	—	$347 – $347
22	Medica mr-medica dual solutions msho [100344] fee schedule · inpatient	$370	$370	—	—	—	$370 – $370
23	Medica medica [100341] fee schedule · outpatient	$380	$380	—	—	—	$380 – $380
24	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
25	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$472	$472	—	—	—	$472 – $472

Page 1 of 2 · 48 rates

Last updated: Feb 20, 2026

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See Adenoid removal surgery for children under 12 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.