Drainage of a tonsil abscess at Boulder Community 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-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

HC INC/DRAIN PERITONSIL ABSCESS

Boulder, CO

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How this price compares nationally

Boulder Community Health’s median price of $526 is 41% above the median hospital's median price ($374), higher than 64% 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 Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 40 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	Aetna medicare advantage professional · case rate · both	$131	$131	—	—	—	$131 – $131
2	Anthem medicare advantage professional · fee schedule · both	$131	$131	—	—	—	$131 – $131
3	Devoted medicare advantage professional · fee schedule · both	$131	$131	—	—	—	$131 – $131
4	Humana medicare advantage professional · fee schedule · both	$131	$131	—	—	—	$131 – $131
5	Kaiser medicare advantage professional · fee schedule · both	$163	$163	—	—	—	$163 – $163
6	Anthem commercial professional · fee schedule · both	$172	$189	$27	14%	—	$172 – $232
7	UnitedHealthcare medicare advantage professional · fee schedule · both	$192	$192	$61	32%	—	$131 – $253
8	Kaiser commercial professional · fee schedule · both	$207	$207	—	—	—	$207 – $207
9	MultiPlan commercial professional · fee schedule · both	$215	$215	—	—	—	$215 – $215
10	Phcs commercial professional · fee schedule · both	$215	$215	—	—	—	$215 – $215
11	Cigna commercial facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
12	Anthem managed care professional · fee schedule · both	$232	$232	—	—	—	$232 – $232
13	Cigna commercial professional · fee schedule · both	$234	$234	—	—	—	$234 – $234
14	Aetna medicare advantage facility · case rate · outpatient	$253	$253	—	—	—	$253 – $253
15	Anthem medicare advantage facility · case rate · outpatient	$253	$253	—	—	—	$253 – $253
16	Humana medicare advantage facility · case rate · outpatient	$258	$258	—	—	—	$258 – $258
17	UnitedHealthcare medicare advantage facility · case rate · outpatient	$258	$258	—	—	—	$258 – $258
18	Kaiser medicare advantage facility · case rate · outpatient	$259	$259	$1	0%	—	$258 – $260
19	Devoted medicare advantage facility · case rate · outpatient	$260	$260	—	—	—	$260 – $260
20	Aetna commercial professional · fee schedule · both	$265	$265	—	—	—	$265 – $265
21	Aetna ppo professional · fee schedule · both	$265	$265	—	—	—	$265 – $265
22	UnitedHealthcare commercial professional · fee schedule · both	$267	$267	—	—	—	$267 – $267
23	Kaiser commercial facility · case rate · outpatient	$551	$551	$67	12%	—	$485 – $618
24	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$603	$603	—	—	1–10	$603 – $603
25	Kaiser managed care facility · case rate · outpatient	$612	$612	—	—	—	$612 – $612

Page 1 of 2 · 40 rates

Last updated: Sep 16, 2026

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See Drainage of a tonsil abscess pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.