Repeat adenoid removal surgery, age 12 or older at St Luke's Methodist Hospital

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR REMOVAL ADENOIDS,SECOND,12+ Y/O

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $745 is 79% below the median hospital's median price ($3.5k), higher than 17% of the 1,565 hospitals reporting CPT 42836. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42836 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 22 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	Aetna medicare advantage fee schedule · both	$224	$224	—	—	—	$224 – $224
2	Molina medicare advantage fee schedule · both	$229	$229	—	—	—	$229 – $229
3	Wellmark medicare advantage fee schedule · both	$229	$229	—	—	—	$229 – $229
4	Humana medicare advantage fee schedule · both	$236	$236	—	—	—	$236 – $236
5	UnitedHealthcare medicare advantage fee schedule · both	$236	$236	—	—	—	$236 – $236
6	Wellmark commercial fee schedule · both	$483	$483	—	—	—	$483 – $483
7	Wellmark hmo fee schedule · both	$483	$483	—	—	—	$483 – $483
8	Aetna hmo fee schedule · both	$539	$539	—	—	—	$539 – $539
9	Wellmark ppo fee schedule · both	$569	$569	—	—	—	$569 – $569
10	Cigna commercial fee schedule · both	$598	$598	—	—	—	$598 – $598
11	Aetna ppo fee schedule · both	$657	$657	—	—	—	$657 – $657
12	UnitedHealthcare hmo fee schedule · both	$745	$745	—	—	—	$745 – $745
13	UnitedHealthcare ppo fee schedule · both	$745	$745	—	—	—	$745 – $745
14	Aetna medicare advantage case rate · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
15	Molina medicare advantage case rate · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
16	Wellmark medicare advantage case rate · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
17	Humana medicare advantage case rate · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
18	UnitedHealthcare medicare advantage case rate · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
19	Aetna hmo fee schedule · outpatient	$6.3k	$6.3k	—	—	—	$6.3k – $6.3k
20	Aetna ppo fee schedule · outpatient	$6.6k	$6.6k	—	—	—	$6.6k – $6.6k
21	UnitedHealthcare hmo fee schedule · outpatient	$8.1k	$8.1k	—	—	—	$8.1k – $8.1k
22	UnitedHealthcare ppo fee schedule · outpatient	$8.1k	$8.1k	—	—	—	$8.1k – $8.1k

Last updated: Jan 28, 2026

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