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.
Original text from hospital filings
TONSILLECTOMY, PRIMARY OR SECONDARY; YOUNGER THAN AGE 12
Seneca, PA
See all hospitals reporting CPT 42825 →Price type
UPMC Northwest’s median price of $5.8k is about the same as the median hospital's median price ($5.8k), higher than 50% of the 1,780 hospitals reporting CPT 42825. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 2 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 3 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 4 | Aetna medicare facility · fee schedule · outpatient | $5.9k | $5.9k | $56 | 1% | — | $5.8k – $5.9k |
| 5 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 6 | Highmark medicare facility · fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 7 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 8 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
Last updated: Mar 6, 2026
See Tonsil removal for children under 12 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.