Tonsil removal surgery for patients aged 12 and over 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 PRIMARY/SECONDARY AGE 12/>

Las Vegas, NV

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Pricing by billing methodology

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How this price compares nationally

University Medical Center of Southern Nevada’s median price of $1.1k is 69% below the median hospital's median price ($3.5k), higher than 19% of the 1,919 hospitals reporting CPT 42826. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42826 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	$242.66	$242.66	$242.66 – $242.66
2	UnitedHealthcare all plans fee schedule · both	$256.13	$256.13	$256.13 – $256.13
3	UnitedHealthcare generic fee schedule · both	$256.13	$256.13	$256.13 – $256.13
4	UnitedHealthcare golden rule fee schedule · both	$256.13	$256.13	$256.13 – $256.13
5	UnitedHealthcare oxford health fee schedule · both	$256.13	$256.13	$256.13 – $256.13
6	UnitedHealthcare umr fee schedule · both	$256.13	$256.13	$256.13 – $256.13
7	Aetna generic fee schedule · both	$326.82	$326.82	$277.98 – $375.65
8	Aetna hmo fee schedule · both	$326.82	$326.82	$277.98 – $375.65
9	Aetna meritain fee schedule · both	$326.82	$326.82	$277.98 – $375.65
10	Aetna ppo fee schedule · both	$326.82	$326.82	$277.98 – $375.65
11	Aetna src student fee schedule · both	$326.82	$326.82	$277.98 – $375.65
12	First Health all plans fee schedule · both	$328.07	$328.07	$280.48 – $375.65
13	Ambetter commercial exchange plan fee schedule · both	$370.64	$370.64	$370.64 – $370.64
14	Bcbs Nv medicare advantage hmo fee schedule · both	$269.10	$396.58	$250.43 – $670.20
15	Bcbs Nv medicare advantage ppo fee schedule · both	$269.10	$396.58	$250.43 – $670.20
16	Cigna all plans fee schedule · both	$550.00	$550.00	$550.00 – $550.00
17	Kaiser hawaii fee schedule · both	$550.00	$550.00	$550.00 – $550.00
18	Kaiser northern ca fee schedule · both	$550.00	$550.00	$550.00 – $550.00
19	Kaiser southern ca fee schedule · both	$550.00	$550.00	$550.00 – $550.00
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	Aetna medicare managed care fee schedule · both	$398.88	$1,150	$219.76 – $3,584
23	Molina medicare advantage fee schedule · both	$469.65	$1,193	$250.43 – $3,584
24	Molina marketplace fee schedule · both	$448.50	$1,537	$375.65 – $5,305
25	Bcbs Nv anthem federal fee schedule · both	$289.58	$1,586	$289.58 – $4,179

Page 1 of 3 · 58 rates

Last updated: Jul 1, 2026

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