Payer comparison · HCPCS 42830 · PINCKNEYVILLE, IL

42830 — Removal Of Adenoids

What each payer pays PINCKNEYVILLE COMMUNITY HOSPITAL (CCN 141307) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$9,850 All-payer median here

$12,012 Cash / self-pay here

15 payer/plan-name variants

← This hospital National rates for 42830 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

Molina Healthcare	$10,833	10.0%	2
Centene	$10,833	10.0%	2
BCBS MCAID	$10,833	10.0%	2
Aetna	$10,811	9.8%	6
MultiPlan	$10,811	9.8%	2
PHCS (Private Healthcare Systems)	$10,030	1.8%	4
HEALTHLINK WORK COMP	$9,910	0.6%	2
Cigna Healthcare	$9,910	0.6%	2
HEALTHLINK PPO	$9,670	-1.8%	4
BCBS PPO - ALL OTHER PLANS	$8,649	-12.2%	2
HEALTH ALLIANCE MEDICAL PLAN OF ILLINOIS	$7,387	-25.0%	2
UnitedHealthcare	$4,805	-51.2%	6
Humana	$4,625	-53.0%	2
UMWA Health and Retirement Funds	$4,625	-53.0%	2
WellCare Health Plans	$4,625	-53.0%	2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.