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
UNLISTED PROC PHARYNX/ADEN/TON
Pittsburgh, PA
See all hospitals reporting CPT 42999 →Price type
UPMC Presbyterian’s median price of $905 is 142% above the median hospital's median price ($375), higher than 71% of the 1,656 hospitals reporting CPT 42999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 medicare advantage facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Highmark managed care facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Highmark upmc emergent facility · fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Highmark commercial - indemnity facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 7 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 8 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 9 | Cigna medicare transplant facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 10 | Highmark medicare facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 11 | UnitedHealthcare medicare facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 12 | Aetna medicare facility · fee schedule · outpatient | $244 | $244 | — | — | — | $244 – $244 |
| 13 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $935 | $935 | $639 | 68% | — | $296 – $1.6k |
| 14 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | $2.5k | 68% | — | $1.2k – $6.1k |
| 15 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | $2.5k | 68% | — | $1.2k – $6.1k |
| 16 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $2.8k | 68% | — | $1.3k – $7.0k |
| 17 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | $2.8k | 68% | — | $1.3k – $7.0k |
| 18 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | $3.0k | 68% | — | $1.4k – $7.4k |
| 19 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | $3.0k | 68% | — | $1.4k – $7.4k |
Last updated: Mar 6, 2026
See Unlisted throat, adenoid, or tonsil procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.