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 AND ADENOIDECTOMY; YOUNGER THAN AGE 12
Boone, NC
See all hospitals reporting CPT 42820 →Price type
Watauga Medical Center, Inc’s median price of $5.5k is 4% below the median hospital's median price ($5.8k), higher than 44% of the 1,862 hospitals reporting CPT 42820. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 6 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $5,368 | $5,368 | $5,368 – $5,368 |
| 2 | Humana medicare hmo/medicare ppo facility · fee schedule · outpatient | $5,534 | $5,534 | $5,534 – $5,534 |
| 3 | Optum vaccn facility · fee schedule · outpatient | $5,534 | $5,534 | $5,534 – $5,534 |
| 4 | Optum vaccn behavioral health facility · fee schedule · outpatient | $5,534 | $5,534 | $5,534 – $5,534 |
| 5 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $5,811 | $5,811 | $5,811 – $5,811 |
| 6 | Aetna medicare advantage facility · fee schedule · outpatient | $5,867 | $5,867 | $5,867 – $5,867 |
Last updated: Jun 3, 2026
See Tonsil and adenoid removal for patients under 12 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.