Tonsil and adenoid removal for patients under 12 at University Medical Center of Southern Nevada

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 TONSILLECTOMY & ADENOIDECTOMY <AGE 12

Las Vegas, NV

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How this price compares nationally

University Medical Center of Southern Nevada’s median price of $1.1k is 82% below the median hospital's median price ($5.8k), higher than 17% of the 1,858 hospitals reporting CPT 42820. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42820 at University Medical Center of Southern Nevada

Negotiated rates from the hospital’s own file: 8 payers, 58 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	Molina medicaid fee schedule · both	$279.56	$279.56	$279.56 – $279.56
2	UnitedHealthcare all plans fee schedule · both	$287.87	$287.87	$287.87 – $287.87
3	UnitedHealthcare generic fee schedule · both	$287.87	$287.87	$287.87 – $287.87
4	UnitedHealthcare golden rule fee schedule · both	$287.87	$287.87	$287.87 – $287.87
5	UnitedHealthcare oxford health fee schedule · both	$287.87	$287.87	$287.87 – $287.87
6	UnitedHealthcare umr fee schedule · both	$287.87	$287.87	$287.87 – $287.87
7	Aetna generic fee schedule · both	$371.25	$371.25	$315.77 – $426.72
8	Aetna hmo fee schedule · both	$371.25	$371.25	$315.77 – $426.72
9	Aetna meritain fee schedule · both	$371.25	$371.25	$315.77 – $426.72
10	Aetna ppo fee schedule · both	$371.25	$371.25	$315.77 – $426.72
11	Aetna src student fee schedule · both	$371.25	$371.25	$315.77 – $426.72
12	First Health all plans fee schedule · both	$372.67	$372.67	$318.62 – $426.72
13	Bcbs Nv medicare advantage hmo fee schedule · both	$306.00	$417.73	$284.48 – $662.70
14	Bcbs Nv medicare advantage ppo fee schedule · both	$306.00	$417.73	$284.48 – $662.70
15	Ambetter commercial exchange plan fee schedule · both	$421.03	$421.03	$421.03 – $421.03
16	Cigna all plans fee schedule · both	$627.25	$627.25	$627.25 – $627.25
17	Kaiser hawaii fee schedule · both	$627.25	$627.25	$627.25 – $627.25
18	Kaiser northern ca fee schedule · both	$627.25	$627.25	$627.25 – $627.25
19	Kaiser southern ca fee schedule · both	$627.25	$627.25	$627.25 – $627.25
20	Bcbs Nv anthem medicaid case rate · both	$714.65	$714.65	$714.65 – $714.65
21	Bcbs Nv anthem medicaid case rate · outpatient	$714.65	$714.65	$714.65 – $714.65
22	UnitedHealthcare all plans case rate · both	$1,647	$1,647	$1,647 – $1,647
23	UnitedHealthcare all plans case rate · outpatient	$1,647	$1,647	$1,647 – $1,647
24	UnitedHealthcare generic case rate · both	$1,647	$1,647	$1,647 – $1,647
25	UnitedHealthcare generic case rate · outpatient	$1,647	$1,647	$1,647 – $1,647

Page 1 of 3 · 58 rates

Last updated: Jul 1, 2026

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