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
Rome, GA
See all hospitals reporting CPT 42820 →Price type
Floyd Healthcare Management Inc’s median price of $5.8k is about the same as the median hospital's median price ($5.8k), higher than 49% 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, 12 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 | Anthem hmo/pos case rate · outpatient | $2,203 | $2,203 | $2,203 – $2,203 |
| 2 | Anthem ppo case rate · outpatient | $2,977 | $2,977 | $2,977 – $2,977 |
| 3 | Anthem medicare advantage case rate · outpatient | $5,764 | $5,764 | $5,764 – $5,764 |
| 4 | Caresource medicare advantage case rate · outpatient | $5,764 | $5,764 | $5,764 – $5,764 |
| 5 | Cigna medicare advantage case rate · outpatient | $5,764 | $5,764 | $5,764 – $5,764 |
| 6 | Humana medicare advantage case rate · outpatient | $5,764 | $5,764 | $5,764 – $5,764 |
| 7 | UnitedHealthcare medicare advantage case rate · outpatient | $5,764 | $5,764 | $5,764 – $5,764 |
| 8 | Aetna medicare advantage case rate · outpatient | $5,822 | $5,822 | $5,822 – $5,822 |
| 9 | WellCare medicare advantage case rate · outpatient | $5,879 | $5,879 | $5,879 – $5,879 |
| 10 | Clover medicare advantage case rate · outpatient | $5,937 | $5,937 | $5,937 – $5,937 |
| 11 | Ambetter marketplace exchange case rate · outpatient | $8,646 | $8,646 | $8,646 – $8,646 |
| 12 | Caresource marketplace exchange case rate · outpatient | $8,646 | $8,646 | $8,646 – $8,646 |
Last updated: Nov 19, 2025
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.