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
Kinston, NC
See all hospitals reporting CPT 42820 →Price type
Lenoir Memorial Hospital’s median price of $5.8k is about the same as the median hospital's median price ($5.8k), higher than 49% of the 1,862 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: 6 payers, 8 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $5,405 | $5,405 | $5,405 – $5,405 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $5,572 | $5,572 | $5,572 – $5,572 |
| 3 | Humana medicare hmo facility · fee schedule · outpatient | $5,683 | $5,683 | $5,683 – $5,683 |
| 4 | Humana medicare ppo facility · fee schedule · outpatient | $5,683 | $5,683 | $5,683 – $5,683 |
| 5 | Cigna medicare advantage facility · fee schedule · outpatient | $5,850 | $5,850 | $5,850 – $5,850 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $5,850 | $5,850 | $5,850 – $5,850 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $5,906 | $5,906 | $5,906 – $5,906 |
| 8 | Cigna commercial facility · case rate · outpatient | $6,649 | $6,649 | $6,649 – $6,649 |
Last updated: Jun 18, 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.