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 & Adenoidectomy Age 12/>
Utica, NY
See all hospitals reporting CPT 42821 →Price type
MVHS, Inc.’s median price of $38 is 99% below the median hospital's median price ($3.5k), higher than 0% of the 1,910 hospitals reporting CPT 42821. 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, 15 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 4 | Humana humana military other · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 5 | Tricare humana military other · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | Excellus excellus bcbs medicare advantage other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 7 | Humana humana medicare advantage other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 8 | Medicare medicare other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 9 | Optum vaccn optum other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 10 | UnitedHealthcare uhc medicare advantage other · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 11 | Aetna aetna medicare advantage other · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 12 | WellCare wellcare medicare advantage other · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 13 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 14 | UnitedHealthcare uhc commercial fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 15 | Cigna mvp and cigna commercial other · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
Last updated: Aug 7, 2026
See Tonsil and adenoid removal, age 12 and over pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.