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
Tonsillectomy and adenoidectomy; younger than age 12
HOUSTON, TX
See all hospitals reporting CPT 42820 →Price type
HCA Houston Healthcare North Cypress’s median price of $3.5k is 40% below the median hospital's median price ($5.8k), higher than 28% 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, 33 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 | Superior Healthplan chip case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 2 | Superior Healthplan chpfc case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 3 | Superior Healthplan star case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 4 | Superior Healthplan starkids case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 5 | Superior Healthplan starplus case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 6 | Aetna qhpexchange case rate · outpatient | $1,944 | $1,944 | $1,944 – $1,944 |
| 7 | Humana mcd fee schedule · outpatient | $2,443 | $2,443 | $2,443 – $2,443 |
| 8 | Aetna Better Health mgmcd fee schedule · outpatient | $2,467 | $2,467 | $2,467 – $2,467 |
| 9 | Aetna nbhmo case rate · outpatient | $2,580 | $2,580 | $2,580 – $2,580 |
| 10 | Aetna nbpos case rate · outpatient | $2,580 | $2,580 | $2,580 – $2,580 |
| 11 | Aetna commhmo case rate · outpatient | $2,742 | $2,742 | $2,742 – $2,742 |
| 12 | Aetna commpos case rate · outpatient | $2,742 | $2,742 | $2,742 – $2,742 |
| 13 | Aetna nbppo case rate · outpatient | $2,986 | $2,986 | $2,986 – $2,986 |
| 14 | Healthcare Highways narrownetwork case rate · outpatient | $3,041 | $3,041 | $3,041 – $3,041 |
| 15 | Aetna commppo case rate · outpatient | $3,174 | $3,174 | $3,174 – $3,174 |
| 16 | Aetna oonhmo case rate · outpatient | $3,228 | $3,228 | $3,228 – $3,228 |
| 17 | Aetna oonpos case rate · outpatient | $3,228 | $3,228 | $3,228 – $3,228 |
| 18 | Aetna asahmo case rate · outpatient | $3,486 | $3,486 | $3,486 – $3,486 |
| 19 | Aetna asapos case rate · outpatient | $3,486 | $3,486 | $3,486 – $3,486 |
| 20 | UnitedHealthcare smallgroup case rate · outpatient | $3,500 | $3,500 | $3,500 – $3,500 |
| 21 | Aetna oonppo case rate · outpatient | $3,732 | $3,732 | $3,732 – $3,732 |
| 22 | Aetna asappo case rate · outpatient | $4,034 | $4,034 | $4,034 – $4,034 |
| 23 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $4,995 | $4,995 | $4,995 – $4,995 |
| 24 | UnitedHealthcare allpayerappendix case rate · outpatient | $5,000 | $5,000 | $5,000 – $5,000 |
| 25 | Oscar hix case rate · outpatient | $5,571 | $5,571 | $5,571 – $5,571 |
Last updated: May 14, 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.