Drainage of a tonsil abscess at Mercy Perry

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 Pf

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $330 is 12% below the median hospital's median price ($374), higher than 44% of the 2,145 hospitals reporting CPT 42700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42700 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	—	—	—	$76 – $76
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
12	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
13	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
14	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
15	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
16	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
17	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$277	$277	—	—	—	$277 – $277
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$312	$312	—	—	—	$312 – $312
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$312	$312	—	—	—	$312 – $312
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$353	$353	—	—	—	$353 – $353

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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