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
Austin, TX
See all hospitals reporting CPT 42820 →Price type
Heart Hosp Of Austin’s median price of $4.9k is 16% below the median hospital's median price ($5.8k), higher than 36% 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: 10 payers, 39 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 | $929.00 | $929.00 | $929.00 – $929.00 |
| 2 | Superior Healthplan chpfc case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 3 | Superior Healthplan star case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 4 | Superior Healthplan starplus case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 5 | Blue Cross Blue Shield chip fee schedule · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 6 | Blue Cross Blue Shield mcd fee schedule · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 7 | UnitedHealthcare mgmcd fee schedule · outpatient | $2,097 | $2,097 | $2,097 – $2,097 |
| 8 | Molina chip fee schedule · outpatient | $2,150 | $2,150 | $2,150 – $2,150 |
| 9 | Molina mcdstar fee schedule · outpatient | $2,150 | $2,150 | $2,150 – $2,150 |
| 10 | Molina star+plus fee schedule · outpatient | $2,150 | $2,150 | $2,150 – $2,150 |
| 11 | Molina starkids fee schedule · outpatient | $2,150 | $2,150 | $2,150 – $2,150 |
| 12 | Humana mgmcd fee schedule · outpatient | $2,443 | $2,443 | $2,443 – $2,443 |
| 13 | Aetna Better Health mcd fee schedule · outpatient | $2,736 | $2,736 | $2,736 – $2,736 |
| 14 | Aetna narrownetwork case rate · outpatient | $3,511 | $3,511 | $3,511 – $3,511 |
| 15 | Cigna newbusinessnetwork case rate · outpatient | $3,716 | $3,716 | $3,716 – $3,716 |
| 16 | Cigna hmo case rate · outpatient | $3,965 | $3,965 | $3,965 – $3,965 |
| 17 | Cigna openaccess case rate · outpatient | $3,965 | $3,965 | $3,965 – $3,965 |
| 18 | Cigna openaccessplus case rate · outpatient | $3,965 | $3,965 | $3,965 – $3,965 |
| 19 | Cigna ppo case rate · outpatient | $4,744 | $4,744 | $4,744 – $4,744 |
| 20 | Aetna comm case rate · outpatient | $4,863 | $4,863 | $4,863 – $4,863 |
| 21 | Aetna meritain case rate · outpatient | $4,863 | $4,863 | $4,863 – $4,863 |
| 22 | Oscar hix case rate · outpatient | $5,014 | $5,014 | $5,014 – $5,014 |
| 23 | Oscar hmo case rate · outpatient | $5,014 | $5,014 | $5,014 – $5,014 |
| 24 | Healthcare Highways epo case rate · outpatient | $5,414 | $5,414 | $5,414 – $5,414 |
| 25 | Healthcare Highways ppo case rate · outpatient | $5,524 | $5,524 | $5,524 – $5,524 |
Last updated: Sep 1, 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.