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
TONSILLECTOMY ADENOIDECTOMY < AGE 12
Madison, WV
See all hospitals reporting CPT 42820 →Price type
Boone Memorial Hospital’s median price of $4.1k is 30% below the median hospital's median price ($5.8k), higher than 32% 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: 4 payers, 5 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 | Humana medicare advantage other · both | $3,983 | $3,983 | $3,983 – $3,983 |
| 2 | Aetna default fee schedule · both | $4,064 | $4,064 | $4,064 – $4,064 |
| 3 | Highmark default other · both | $4,064 | $4,064 | $4,064 – $4,064 |
| 4 | Cigna default percent of total billed charges · bothfrom % of charges | $10,828 | $10,828 | $10,828 – $10,828 |
| 5 | Aetna default percent of total billed charges · bothfrom % of charges | $13,789 | $13,789 | $13,789 – $13,789 |
Last updated: Apr 7, 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.