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
HC Tonsillectomy/Adenoidectomy<12|BILATERAL PROCEDURE
Falls, MT
See all hospitals reporting CPT 42820 →Price type
Benefis Hospitals Inc’s median price of $10.6k is 83% above the median hospital's median price ($5.8k), higher than 94% of the 1,858 hospitals reporting CPT 42820. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 26 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $465.33 | $465.33 | $372.26 – $558.40 |
| 2 | Cigna bhs hb allegiance fee schedule · outpatient | $581.67 | $581.67 | $465.33 – $698.00 |
| 3 | Healthpartners bhs hb allegiance fee schedule · outpatient | $581.67 | $581.67 | $465.33 – $698.00 |
| 4 | Kaiser bhs hb allegiance fee schedule · outpatient | $581.67 | $581.67 | $465.33 – $698.00 |
| 5 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $581.67 | $581.67 | $465.33 – $698.00 |
| 6 | Aetna bhs hb medicare other · outpatient | $6,048 | $6,048 | $6,048 – $6,048 |
| 7 | Anthem bhs hb medicare other · outpatient | $6,048 | $6,048 | $6,048 – $6,048 |
| 8 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $6,048 | $6,048 | $6,048 – $6,048 |
| 9 | Kaiser bhs hb medicare other · outpatient | $6,048 | $6,048 | $6,048 – $6,048 |
| 10 | Medicare bhs hb medicare other · outpatient | $6,048 | $6,048 | $6,048 – $6,048 |
| 11 | WellCare bhs hb medicare other · outpatient | $6,048 | $6,048 | $6,048 – $6,048 |
| 12 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $9,557 | $9,557 | $7,646 – $11,469 |
| 13 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $10,101 | $10,101 | $8,081 – $12,122 |
| 14 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $11,028 | $11,028 | $8,822 – $13,233 |
| 15 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $11,763 | $11,763 | $9,410 – $14,116 |
| 16 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $11,969 | $11,969 | $9,575 – $14,363 |
| 17 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $12,498 | $12,498 | $9,999 – $14,998 |
| 18 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $12,498 | $12,498 | $9,999 – $14,998 |
| 19 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $12,645 | $12,645 | $10,116 – $15,174 |
| 20 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $13,233 | $13,233 | $10,587 – $15,880 |
| 21 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $13,233 | $13,233 | $10,587 – $15,880 |
| 22 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $13,233 | $13,233 | $10,587 – $15,880 |
| 23 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $13,233 | $13,233 | $10,587 – $15,880 |
| 24 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $13,527 | $13,527 | $10,822 – $16,233 |
| 25 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $13,527 | $13,527 | $10,822 – $16,233 |
Last updated: Mar 26, 2026
See Tonsil and adenoid removal for patients under 12 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.