Payer comparison · HCPCS 42820 · ALGONA, IA

42820 — Remove Tonsils And Adenoids

What each payer pays KOSSUTH REGIONAL HEALTH CENTER (CCN 161353) 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.

$3,608 All-payer median here

$3,803 Cash / self-pay here

13 payer/plan-name variants

← This hospital National rates for 42820 →

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	$4,897	35.7%	1
Aetna	$4,516	25.2%	3
MultiPlan	$4,516	25.2%	1
PREFERRED HEALTH - ALL PLANS	$4,041	12.0%	1
MEDICAL ASSOCIATES - ALL PLANS	$4,041	12.0%	1
HealthPartners	$3,970	10.0%	2
Amerigroup	$3,393	-6.0%	2
Midlands Choice	$3,328	-7.8%	1
UnitedHealthcare	$2,735	-24.2%	2
Wellmark BCBS	$2,587	-28.3%	2
Humana	$1,825	-49.4%	1
MERCY ONE - ALL PLANS	$1,807	-49.9%	1
VA / CHAMPVA	$1,807	-49.9%	1

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.