Unlisted throat, adenoid, or tonsil procedure at Conway Hospital, Inc.

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Unlisted px phrnx adnd/tnsl

Conway, SC

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Pricing by billing methodology

Price type

How this price compares nationally

Conway Hospital, Inc.’s median price of $216 is 42% below the median hospital's median price ($375), higher than 7% of the 1,656 hospitals reporting CPT 42999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42999 at Conway Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 26 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 facility · percent of total billed charges · outpatientfrom % of charges	$86	$86	$46	54%	—	$39 – $132
2	Blue Cross Blue Shield narrow network facility · percent of total billed charges · inpatientfrom % of charges	$128	$128	$69	54%	—	$59 – $197
3	Blue Cross Blue Shield narrow network facility · percent of total billed charges · outpatientfrom % of charges	$128	$128	$69	54%	—	$59 – $197
4	Blue Cross Blue Shield exchange facility · percent of total billed charges · inpatientfrom % of charges	$144	$144	$78	54%	—	$66 – $222
5	Blue Cross Blue Shield exchange facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	$78	54%	—	$66 – $222
6	Blue Cross Blue Shield state health plan facility · fee schedule · outpatient	$211	$211	—	—	—	$211 – $211
7	Aetna medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
8	Blue Cross Blue Shield medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
9	Clover medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
10	Humana commercial facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
11	Humana medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
12	Molina exchange facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
13	Molina medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
14	UnitedHealthcare medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
15	WellCare medicare facility · fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
16	Blue Cross Blue Shield state health plan facility · percent of total billed charges · inpatientfrom % of charges	$238	$238	$129	54%	—	$109 – $368
17	Blue Cross Blue Shield state health plan facility · percent of total billed charges · outpatientfrom % of charges	$238	$238	$129	54%	—	$109 – $368
18	Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges	$269	$269	$146	54%	—	$123 – $415
19	Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges	$269	$269	$146	54%	—	$123 – $415
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$325	$325	$176	54%	—	$149 – $501
21	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$334	$334	$181	54%	—	$153 – $515
22	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$334	$334	$181	54%	—	$153 – $515
23	Blue Cross Blue Shield ppo facility · fee schedule · outpatient	$335	$335	—	—	—	$335 – $335
24	Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges	$343	$343	$186	54%	—	$157 – $528
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$343	$343	$186	54%	—	$158 – $529

Page 1 of 2 · 26 rates

Last updated: May 20, 2026

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