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
REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)
Martinsburg, WV
See all hospitals reporting CPT 42820 →Price type
City Hospital, Inc.’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: 8 payers, 14 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 | Highmark chip facility · fee schedule · outpatient | $205.80 | $205.80 | $205.80 – $205.80 |
| 2 | Highmark mgd mcaid facility · fee schedule · outpatient | $205.80 | $205.80 | $205.80 – $205.80 |
| 3 | Aetna better health wv mgd medicaid facility · fee schedule · outpatient | $209.72 | $209.72 | $209.72 – $209.72 |
| 4 | Aetna Better Health chip facility · fee schedule · outpatient | $209.72 | $209.72 | $209.72 – $209.72 |
| 5 | Blue Cross Blue Shield blue cross blue shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $4,523 | $4,523 | $4,523 – $4,523 |
| 6 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $5,248 | $5,248 | $5,248 – $5,248 |
| 7 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $5,838 | $5,838 | $5,838 – $5,838 |
| 8 | Highmark all pla facility · other · outpatient | $5,868 | $5,868 | $5,868 – $5,868 |
| 9 | Highmark all plans facility · other · outpatient | $5,925 | $5,925 | $5,925 – $5,925 |
| 10 | Aetna all plans facility · other · outpatient | $5,982 | $5,982 | $5,982 – $5,982 |
| 11 | Humana all plans facility · other · outpatient | $5,982 | $5,982 | $5,982 – $5,982 |
| 12 | UnitedHealthcare all plans facility · other · outpatient | $6,210 | $6,210 | $6,210 – $6,210 |
| 13 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $6,313 | $6,313 | $6,313 – $6,313 |
| 14 | Caresource caresource oh exchange facility · other · outpatient | $8,546 | $8,546 | $8,546 – $8,546 |
Last updated: Jul 9, 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.