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

Quitman, MS

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How this price compares nationally

Rush Medical Foundation’s median price of $241 is 36% below the median hospital's median price ($374), higher than 19% 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, 24 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	$111	$111	$11	10%	—	$100 – $122
2	Cigna Healthspring all payor fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
3	Optum all payor fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
4	WellCare all payor fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
5	Molina all payor fee schedule · outpatient	$123	$138	$31	23%	—	$109 – $181
6	Ambetter all payor fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
7	Cigna all payor fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
8	MultiPlan all payor fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
9	UnitedHealthcare all payor case rate · outpatient	$217	$217	—	—	—	$217 – $217
10	UnitedHealthcare all payor fee schedule · outpatient	$335	$264	$101	38%	—	$122 – $335
11	Bcbs Ms all payor fee schedule · outpatient	$303	$303	$38	13%	—	$265 – $341
12	Humana all payor percent of total billed charges · outpatientfrom % of charges	$331	$331	$138	42%	—	$193 – $469
13	Aetna all payor fee schedule · outpatient	$376	$376	—	—	—	$376 – $376
14	Cigna all payor percent of total billed charges · outpatientfrom % of charges	$394	$394	$164	42%	—	$230 – $558
15	Cigna Healthspring all payor other · outpatient	$410	$410	$171	42%	—	$240 – $581
16	Humana all payor other · outpatient	$410	$410	$171	42%	—	$240 – $581
17	Optum all payor other · outpatient	$410	$410	$171	42%	—	$240 – $581
18	UnitedHealthcare all payor other · outpatient	$410	$410	$171	42%	—	$240 – $581
19	Ambetter all payor other · outpatient	$414	$414	$172	42%	—	$242 – $586
20	Molina all payor other · outpatient	$414	$414	$172	42%	—	$242 – $586
21	WellCare all payor other · outpatient	$414	$414	$172	42%	—	$242 – $586
22	Aetna all payor percent of total billed charges · outpatientfrom % of charges	$460	$460	$191	42%	—	$268 – $651
23	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$530	$530	$221	42%	—	$310 – $751
24	Bcbs Ms all payor other · outpatient	$566	$566	$235	42%	—	$330 – $801

Last updated: Apr 1, 2026

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