Drainage of a tonsil abscess at Hsa Pgh Llc

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

Hialeah, FL

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Pricing by billing methodology

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How this price compares nationally

Hsa Pgh Llc’s median price of $922 is 145% above the median hospital's median price ($377), higher than 78% of the 2,114 hospitals reporting CPT 42700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42700 at Hsa Pgh Llc

Negotiated rates from the hospital’s own file: 15 payers, 40 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 Better Health aetna better health medicaid hmo facility · fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
2	Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
3	Humana humana medical plan / fl medicaid facility · fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
4	UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
5	Molina molina managed medicaid facility · other · outpatient	$128	$128	—	—	—	$128 – $128
6	Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
7	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$240	$240	—	—	—	$240 – $240
8	Molina molina marketplace program exchange facility · fee schedule · outpatient	$354	$354	—	—	—	$354 – $354
9	Aetna aetna non-gatekeeper facility · case rate · outpatient	$407	$407	—	—	—	$407 – $407
10	Magellan magellan behavioral health facility · per diem · outpatient	$465	$465	—	—	—	$465 – $465
11	Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges	$598	$598	—	—	—	$598 – $598
12	Humana humana commercial hmo facility · other · outpatient	$659	$659	—	—	—	$659 – $659
13	Humana humana commercial ppo facility · other · outpatient	$690	$690	—	—	—	$690 – $690
14	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$850	$850	—	—	—	$850 – $850
15	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$850	$850	—	—	—	$850 – $850
16	Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges	$969	$969	—	—	—	$969 – $969
17	Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges	$969	$969	—	—	—	$969 – $969
18	UnitedHealthcare united healthcare of florida exchange facility · case rate · outpatient	$1.1k	$1.1k	$794	73%	—	$288 – $1.9k
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	UnitedHealthcare united healthcare of florida all payer facility · case rate · outpatient	$1.6k	$1.6k	$1.2k	73%	—	$436 – $2.8k
22	UnitedHealthcare united healthcare of florida hmo facility · case rate · outpatient	$1.6k	$1.6k	$1.2k	73%	—	$436 – $2.8k
23	UnitedHealthcare united healthcare of florida ppo facility · case rate · outpatient	$1.7k	$1.7k	$1.1k	68%	—	$548 – $2.8k
24	Humana humana commercial hmo facility · case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
25	Humana humana commercial ppo facility · case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Page 1 of 2 · 40 rates

Last updated: Sep 1, 2026

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