Drainage of a tonsil abscess at Clovis Community Medical Center

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

I&D ABSCESS, PERITONSILLAR

Clovis, CA

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Pricing by billing methodology

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How this price compares nationally

Clovis Community Medical Center’s median price of $305 is 19% below the median hospital's median price ($375), higher than 39% of the 2,123 hospitals reporting CPT 42700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42700 at Clovis Community Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Blue Cross Blue Shield managed medi-cal facility · fee schedule · inpatient	$73	$59	$20	35%	—	$30 – $73
2	Molina managed medi-cal facility · fee schedule · inpatient	$73	$73	—	—	—	$73 – $73
3	Aetna medicare advantage facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
4	Aetna medicare hmo for chp facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
5	Aetna ppo facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
6	Blue Cross Blue Shield medicare advantage facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
7	Cigna access (pffs) facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
8	Cigna healthspring facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
9	Humana medicare advantage facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
10	Kaiser commercial facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
11	Kaiser senior advantage medicare facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
12	WellCare medicare advantage facility · case rate · inpatient	$305	$305	—	—	—	$305 – $305
13	UnitedHealthcare medicare advantage facility · case rate · inpatient	$309	$309	—	—	—	$309 – $309
14	Aetna medicare hmo for non-chp facility · case rate · inpatient	$320	$320	—	—	—	$320 – $320
15	Blue Cross Blue Shield epn facility · fee schedule · inpatient	$504	$504	—	—	—	$504 – $504
16	Humana choice care ppo facility · fee schedule · inpatient	$915	$915	—	—	—	$915 – $915
17	MultiPlan ppo facility · fee schedule · inpatient	$915	$915	—	—	—	$915 – $915
18	Phcs commercial facility · fee schedule · inpatient	$915	$915	—	—	—	$915 – $915
19	UnitedHealthcare hmo facility · case rate · inpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	UnitedHealthcare ppo facility · case rate · inpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Blue Cross Blue Shield exchange hmo facility · case rate · inpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
22	Blue Cross Blue Shield hmopos facility · case rate · inpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
23	Cigna hmo facility · case rate · inpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
24	Blue Cross Blue Shield epoppo facility · case rate · inpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
25	Blue Cross Blue Shield hmoppo facility · case rate · inpatient	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k

Page 1 of 2 · 28 rates

Last updated: Sep 11, 2026

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