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
HB Tonsillectomy & Adenoidectomy <Age 12
McHenry, IL
See all hospitals reporting CPT 42820 →Price type
Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital’s median price of $13.5k is 133% above the median hospital's median price ($5.8k), higher than 98% 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: 7 payers, 21 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 nwr blue cross medicare advt other · outpatient | $3,412 | $3,412 | $3,412 – $3,412 |
| 2 | Humana nwr humana medicare advt other · outpatient | $3,412 | $3,412 | $3,412 – $3,412 |
| 3 | UnitedHealthcare nwr uhc core case rate · outpatient | $3,577 | $3,577 | $3,577 – $3,577 |
| 4 | UnitedHealthcare nwr uhc hmo/ppo case rate · outpatient | $3,975 | $3,975 | $3,975 – $3,975 |
| 5 | Cigna nwr cigna alternative percent of total billed charges · outpatientfrom % of charges | $5,375 | $5,375 | $5,375 – $5,375 |
| 6 | Aetna nwr aetna nm employees percent of total billed charges · outpatientfrom % of charges | $6,572 | $6,572 | $6,572 – $6,572 |
| 7 | Cigna nwr cigna broad percent of total billed charges · outpatientfrom % of charges | $8,426 | $8,426 | $8,426 – $8,426 |
| 8 | MultiPlan nwr phcs ppo case rate · outpatient | $9,102 | $9,102 | $9,102 – $9,102 |
| 9 | Aetna nwr aetna apcn/sp percent of total billed charges · outpatientfrom % of charges | $9,391 | $9,391 | $9,391 – $9,391 |
| 10 | Aetna nwr aetna il preferred percent of total billed charges · outpatientfrom % of charges | $11,136 | $11,136 | $11,136 – $11,136 |
| 11 | Blue Cross Blue Shield nwr bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $12,284 | $12,284 | $12,284 – $12,284 |
| 12 | Blue Cross Blue Shield nwr bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $12,284 | $12,284 | $12,284 – $12,284 |
| 13 | Aetna nwr aetna percent of total billed charges · outpatientfrom % of charges | $13,284 | $13,284 | $13,284 – $13,284 |
| 14 | Aetna nwr aetna asa percent of total billed charges · outpatientfrom % of charges | $14,319 | $14,319 | $14,319 – $14,319 |
| 15 | Cigna nwr cigna behavorial bhs percent of total billed charges · outpatientfrom % of charges | $20,474 | $20,474 | $20,474 – $20,474 |
| 16 | Beechstreet nwr beechstreet percent of total billed charges · outpatientfrom % of charges | $21,839 | $21,839 | $21,839 – $21,839 |
| 17 | Blue Cross Blue Shield nwr bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $22,220 | $22,220 | $22,220 – $22,220 |
| 18 | Blue Cross Blue Shield nwr bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $27,299 | $27,299 | $27,299 – $27,299 |
| 19 | MultiPlan nwr non-contracted payors percent of total billed charges · outpatientfrom % of charges | $27,299 | $27,299 | $27,299 – $27,299 |
| 20 | Blue Cross Blue Shield nwr bcbs hmo percent of total billed charges · outpatientfrom % of charges | $28,318 | $28,318 | $28,318 – $28,318 |
| 21 | Blue Cross Blue Shield nwr bcbs ppo percent of total billed charges · outpatientfrom % of charges | $35,251 | $35,251 | $35,251 – $35,251 |
Last updated: Apr 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.