42820 Remove tonsils and adenoids
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Price charged
$1,971.98
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$1,971.98
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$1,971.98
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$1,971.98
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$1,971.98
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$1,971.98
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$1,977.29
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$1,992.00
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$3,910.00
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$4,275.00
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$4,275.00
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$4,275.00
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$4,325.00
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$5,135.00
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$5,135.00
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$5,455.00
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$5,578.11
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$5,578.11
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$5,578.11
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$6,845.00
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$7,950.00
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$7,952.42
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$8,371.33
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$9,245.54
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$18,201.10
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$5,386.89
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$462.11
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$18,635.00
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$15,415.00
You paid
$1,243.94
Price charged
$21,949.10
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$0.00
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$21,949.10
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$0.00
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$21,949.10
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$0.00
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$21,949.10
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$0.00
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$0.00
What Medicare pays here?
| Remove tonsils and adenoids | |
| Region | Price |
|---|---|
| Alabama | $274.34 |
| Alaska | $383.53 |
| Arizona | $291.90 |
| Arkansas | $273.90 |
| Anaheim/Santa Ana, CA | $326.15 |
| Los Angeles, CA | $316.17 |
| Marin/Napa/Solano, CA | $326.22 |
| Oakland/Berkeley, CA | $329.34 |
| Rest of California | $303.64 |
| San Francisco, CA | $344.76 |
| San Mateo, CA | $344.01 |
| Santa Clara, CA | $342.63 |
| Ventura, CA | $319.96 |
| Colorado | $302.29 |
| Connecticut | $321.88 |
| DC + MD/VA Suburbs | $337.32 |
| Delaware | $305.15 |
| Fort Lauderdale, FL | $317.86 |
| Miami, FL | $336.62 |
| Rest of Florida | $300.85 |
| Atlanta, GA | $300.65 |
| Rest of Georgia | $288.04 |
| Hawaii/Guam | $311.95 |
| Idaho | $276.28 |
| Chicago, IL | $324.61 |
| East St. Louis, IL | $308.07 |
| Rest of Illinois | $293.46 |
| Suburban Chicago, IL | $319.36 |
| Indiana | $275.54 |
| Iowa | $274.98 |
| Kansas | $279.64 |
| Kentucky | $280.16 |
| New Orleans, LA | $300.76 |
| Rest of Louisiana | $289.26 |
| Rest of Maine | $282.21 |
| Southern Maine | $292.87 |
| Baltimore/Surr. Cntys, MD | $320.92 |
| Rest of Maryland | $306.41 |
| Metropolitan Boston | $315.40 |
| Rest of Massachusetts | $311.89 |
| Detroit, MI | $312.69 |
| Rest of Michigan | $289.36 |
| Minnesota | $286.71 |
| Mississippi | $269.20 |
| Metropolitan Kansas City, MO | $296.06 |
| Metropolitan St Louis, MO | $295.13 |
| Rest of Missouri | $281.79 |
| Montana | $312.77 |
| Nebraska | $273.09 |
| Nevada | $299.59 |
| New Hampshire | $305.85 |
| Northern NJ | $326.59 |
| Rest of New Jersey | $316.86 |
| New Mexico | $294.56 |
| Manhattan, NY | $342.91 |
| NYC Suburbs/Long I., NY | $355.92 |
| Poughkpsie/N NYC Suburbs, NY | $317.11 |
| Queens, NY | $356.36 |
| Rest of New York | $284.10 |
| North Carolina | $283.88 |
| North Dakota | $289.18 |
| Ohio | $288.82 |
| Oklahoma | $284.46 |
| Portland, OR | $302.73 |
| Rest of Oregon | $290.29 |
| Metropolitan Philadelphia, PA | $319.95 |
| Rest of Pennsylvania | $291.81 |
| Puerto Rico | $299.79 |
| Rhode Island | $309.48 |
| South Carolina | $278.42 |
| South Dakota | $285.91 |
| Tennessee | $276.46 |
| Austin, TX | $296.29 |
| Beaumont, TX | $286.11 |
| Brazoria, TX | $298.31 |
| Dallas, TX | $297.69 |
| Fort Worth, TX | $292.96 |
| Galveston, TX | $300.06 |
| Houston, TX | $302.29 |
| Rest of Texas | $286.94 |
| Utah | $293.54 |
| Vermont | $292.25 |
| Virgin Islands | $299.79 |
| Virginia | $295.38 |
| Rest of Washington | $298.39 |
| Seattle (King Cnty), WA | $320.05 |
| West Virginia | $287.59 |
| Wisconsin | $279.61 |
| Wyoming | $296.53 |
| Bakersfield, CA | $303.19 |
| Chico, CA | $301.98 |
| El Centro, CA | $302.15 |
| Fresno, CA | $301.98 |
| Hanford-Corcoran, CA | $302.13 |
| Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA | $321.70 |
| Los Angeles-Long Beach-Anaheim (Orange Cnty), CA | $321.70 |
| Madera, CA | $301.98 |
| Merced, CA | $301.98 |
| Modesto, CA | $301.98 |
| Napa, CA | $327.88 |
| Oxnard-Thousand Oaks-Ventura, CA | $317.78 |
| Redding, CA | $301.98 |
| Riverside-San Bernardino-Ontario, CA | $306.26 |
| Sacramento--Roseville--Arden-Arcade, CA | $305.30 |
| Salinas, CA | $306.27 |
| San Diego-Carlsbad, CA | $307.87 |
| San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA | $338.77 |
| San Francisco-Oakland-Hayward (Marin Cnty), CA | $333.79 |
| San Francisco-Oakland-Hayward (San Francisco Cnty), CA | $338.77 |
| San Francisco-Oakland-Hayward (San Mateo Cnty), CA | $338.77 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA | $324.40 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA | $342.91 |
| San Luis Obispo-Paso Robles-Arroyo Grande, CA | $303.23 |
| Santa Cruz-Watsonville, CA | $314.41 |
| Santa Maria-Santa Barbara, CA | $310.32 |
| Santa Rosa, CA | $309.61 |
| Stockton-Lodi, CA | $301.98 |
| Vallejo-Fairfield, CA | $327.88 |
| Visalia-Porterville, CA | $301.98 |
| Yuba City, CA | $301.98 |
| Rest Of California, CA | $301.98 |
| Hawaii, GUam | $309.24 |
| Metropolitan Boston, MA | $327.91 |
