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
SAGINAW, TX
See all hospitals reporting CPT 42820 →Price type
Medical City Alliance’s median price of $5.4k is 7% below the median hospital's median price ($5.8k), higher than 39% 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: 11 payers, 38 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare chip fee schedule · outpatient | $1,954 | $1,954 | $1,954 – $1,954 |
| 2 | UnitedHealthcare star fee schedule · outpatient | $1,954 | $1,954 | $1,954 – $1,954 |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $1,954 | $1,954 | $1,954 – $1,954 |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $1,954 | $1,954 | $1,954 – $1,954 |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $1,954 | $1,954 | $1,954 – $1,954 |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 7 | Molina chip fee schedule · outpatient | $2,169 | $2,169 | $2,150 – $2,189 |
| 8 | Molina mcdstar fee schedule · outpatient | $2,169 | $2,169 | $2,150 – $2,189 |
| 9 | Molina star+plus fee schedule · outpatient | $2,169 | $2,169 | $2,150 – $2,189 |
| 10 | Molina starkids fee schedule · outpatient | $2,169 | $2,169 | $2,150 – $2,189 |
| 11 | Aetna Better Health chip fee schedule · outpatient | $2,345 | $2,345 | $2,345 – $2,345 |
| 12 | Aetna Better Health mcd fee schedule · outpatient | $2,345 | $2,345 | $2,345 – $2,345 |
| 13 | Humana mgmcd fee schedule · outpatient | $2,443 | $2,443 | $2,443 – $2,443 |
| 14 | Aetna qhphix case rate · outpatient | $2,513 | $2,513 | $2,513 – $2,513 |
| 15 | Aetna newbusiness case rate · outpatient | $3,445 | $3,445 | $3,445 – $3,445 |
| 16 | Healthcare Highways narrownetwork case rate · outpatient | $3,650 | $3,650 | $3,650 – $3,650 |
| 17 | Aetna comm case rate · outpatient | $3,682 | $3,682 | $3,682 – $3,682 |
| 18 | Aetna meritain case rate · outpatient | $3,682 | $3,682 | $3,682 – $3,682 |
| 19 | Aetna oon case rate · outpatient | $4,332 | $4,332 | $4,332 – $4,332 |
| 20 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $4,337 | $4,337 | $4,337 – $4,337 |
| 21 | Oscar hix case rate · outpatient | $5,381 | $5,381 | $5,381 – $5,381 |
| 22 | UnitedHealthcare smallgroup case rate · outpatient | $5,593 | $5,593 | $5,593 – $5,593 |
| 23 | MultiPlan primarynetwork case rate · outpatient | $5,674 | $5,674 | $5,674 – $5,674 |
| 24 | Cigna localplus case rate · outpatient | $6,004 | $6,004 | $6,004 – $6,004 |
| 25 | Cigna newbusiness case rate · outpatient | $6,010 | $6,010 | $6,010 – $6,010 |
Last updated: Mar 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.