Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 42825 · LITTLEFIELD, TX

42825 — Removal Of Tonsils

What each payer pays LAMB HEALTHCARE CENTER (CCN 450698) 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.

$5,970 All-payer median here
$3,565 Cash / self-pay here
13 payer/plan-name variants
← This hospital National rates for 42825 →
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
   
Humana $6,684 12.0% 1
Prime Health Services $6,684 12.0% 1
HEALTHSMART BENEFIT SOLUTIONS $6,238 4.5% 1
Team Choice $6,238 4.5% 5
Great-West Healthcare $6,238 4.5% 1
Blue Cross Blue Shield $6,096 2.1% 2
Stratose $5,970 0.0% 1
Cigna Healthcare $5,793 -3.0% 1
Aetna $5,525 -7.5% 2
Health Net $5,428 -9.1% 1
Superior HealthPlan $5,428 -9.1% 1
Department of Assistive and Rehabilitative Services $4,902 -17.9% 1
CapStar $1,300 -78.2% 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.