Drainage of a tonsil abscess at Rush Medical Foundation

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

PR INC/DRAIN PERITONSIL ABSCESS

Meridian, MS

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How this price compares nationally

Rush Medical Foundation’s median price of $212 is 43% below the median hospital's median price ($374), higher than 10% 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 Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 16 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	Humana all payor fee schedule · outpatient	$122	$131	$42	32%	—	$100 – $212
2	Molina all payor fee schedule · outpatient	$123	$143	$40	28%	—	$109 – $215
3	Cigna Healthspring all payor fee schedule · outpatient	$122	$152	$43	28%	—	$122 – $212
4	Optum all payor fee schedule · outpatient	$122	$152	$43	28%	—	$122 – $212
5	WellCare all payor fee schedule · outpatient	$122	$152	$43	28%	—	$122 – $212
6	Humana all payor other · outpatient	$195	$195	—	—	—	$195 – $195
7	Cigna all payor fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
8	MultiPlan all payor fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
9	Ambetter all payor fee schedule · outpatient	$170	$213	$60	28%	—	$170 – $297
10	UnitedHealthcare all payor fee schedule · outpatient	$335	$257	$95	37%	—	$122 – $335
11	Aetna all payor other · outpatient	$268	$268	—	—	—	$268 – $268
12	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$310	$310	—	—	—	$310 – $310
13	Bcbs Ms all payor fee schedule · outpatient	$341	$345	$73	21%	—	$265 – $478
14	Aetna all payor fee schedule · outpatient	$376	$376	—	—	—	$376 – $376
15	UnitedHealthcare all payor case rate · outpatient	$474	$474	—	—	—	$474 – $474
16	Cigna all payor case rate · outpatient	$919	$919	—	—	—	$919 – $919

Last updated: Apr 1, 2026

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