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
Lake Forest, IL
See all hospitals reporting CPT 42820 →Price type
Northwestern Lake Forest Hospital’s median price of $14.8k is 156% above the median hospital's median price ($5.8k), higher than 99% 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: 8 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 nlfh advocate ipa other · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 2 | Blue Cross Blue Shield nlfh blue cross medicare advt other · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 3 | Humana nlfh advocate ipa other · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 4 | Humana nlfh humana medicare advt other · outpatient | $2,492 | $2,492 | $2,492 – $2,492 |
| 5 | Aetna nlfh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $3,230 | $3,230 | $3,230 – $3,230 |
| 6 | UnitedHealthcare nlfh uhc core case rate · outpatient | $3,577 | $3,577 | $3,577 – $3,577 |
| 7 | UnitedHealthcare nlfh uhc hmo/ppo case rate · outpatient | $3,975 | $3,975 | $3,975 – $3,975 |
| 8 | Cigna nlfh cigna alternative percent of total billed charges · outpatientfrom % of charges | $7,327 | $7,327 | $7,327 – $7,327 |
| 9 | Cigna nlfh cigna broad percent of total billed charges · outpatientfrom % of charges | $12,582 | $12,582 | $12,582 – $12,582 |
| 10 | Blue Cross Blue Shield nlfh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $14,594 | $14,594 | $14,594 – $14,594 |
| 11 | First Health nlfh first health percent of total billed charges · outpatientfrom % of charges | $14,993 | $14,993 | $14,993 – $14,993 |
| 12 | Beechstreet nlfh phcs percent of total billed charges · outpatientfrom % of charges | $15,577 | $15,577 | $15,577 – $15,577 |
| 13 | MultiPlan nlfh phcs percent of total billed charges · outpatientfrom % of charges | $15,577 | $15,577 | $15,577 – $15,577 |
| 14 | Blue Cross Blue Shield nlfh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $15,857 | $15,857 | $15,857 – $15,857 |
| 15 | Blue Cross Blue Shield nlfh bc lake county phys assoc ipa percent of total billed charges · outpatientfrom % of charges | $19,472 | $19,472 | $19,472 – $19,472 |
| 16 | Blue Cross Blue Shield nlfh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $19,472 | $19,472 | $19,472 – $19,472 |
| 17 | MultiPlan nlfh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $19,472 | $19,472 | $19,472 – $19,472 |
| 18 | UnitedHealthcare nlfh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $19,472 | $19,472 | $19,472 – $19,472 |
| 19 | Blue Cross Blue Shield nlfh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $20,074 | $20,074 | $20,074 – $20,074 |
| 20 | Blue Cross Blue Shield nlfh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $20,161 | $20,161 | $20,161 – $20,161 |
| 21 | Blue Cross Blue Shield nlfh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $31,143 | $31,143 | $31,143 – $31,143 |
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.