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
REMOVE TONSILS AND ADENOIDS
Beaumont, TX
See all hospitals reporting CPT 42820 →Price type
Christus Health Southeast Texas’s median price of $5.9k is 3% above the median hospital's median price ($5.8k), higher than 55% 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: 9 payers, 30 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 | UnitedHealthcare chip km case rate · outpatient | $397.93 | $397.93 | $397.93 – $397.93 |
| 2 | UnitedHealthcare star kid km case rate · outpatient | $397.93 | $397.93 | $397.93 – $397.93 |
| 3 | UnitedHealthcare star km case rate · outpatient | $397.93 | $397.93 | $397.93 – $397.93 |
| 4 | UnitedHealthcare star plus km case rate · outpatient | $397.93 | $397.93 | $397.93 – $397.93 |
| 5 | Molina chip km fee schedule · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 6 | Molina star km fee schedule · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 7 | Molina star plus km fee schedule · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 8 | Aetna new business case rate · outpatient | $2,242 | $2,242 | $2,242 – $2,242 |
| 9 | Humana choicecare other · outpatient | $2,336 | $2,336 | $2,336 – $2,336 |
| 10 | Aetna epo case rate · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 11 | Aetna hmo case rate · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 12 | Aetna pos case rate · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 13 | Aetna ppo case rate · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 14 | UnitedHealthcare hix case rate · outpatient | $2,831 | $2,831 | $2,831 – $2,831 |
| 15 | Healthcare Highways ppo case rate · outpatient | $4,543 | $4,543 | $4,543 – $4,543 |
| 16 | Aetna mm fee schedule · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 17 | Bcbs Tx mm fee schedule · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 18 | Humana gold choice mm fee schedule · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 19 | Molina medicare adv mm fee schedule · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 20 | UnitedHealthcare mm fee schedule · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 21 | WellCare mm fee schedule · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 22 | Cigna new business case rate · outpatient | $6,039 | $6,039 | $6,039 – $6,039 |
| 23 | UnitedHealthcare all payer case rate · outpatient | $6,327 | $6,327 | $6,327 – $6,327 |
| 24 | Devoted mm fee schedule · outpatient | $6,399 | $6,399 | $6,399 – $6,399 |
| 25 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $6,742 | $6,742 | $6,742 – $6,742 |
Last updated: Jan 13, 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.