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Adenoid removal (child) in California: what insurers pay

Posted commercial rates at 5 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 42830

HospitalMedian across insurers× MedicareInsurersFile date
Keck Hospital Of Usc Los Angeles$8,7702.1×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$13,4973.2×52026-09-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$22,0024.7×62026-03-23
Stanford Health Care Stanford$22,0414.5×32026-04-01
Cedars-Sinai Medical Center Los Angeles$22,0555.2×32025-11-26

Questions

How much do insurers pay for adenoid removal (child) in California?

5 California hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 5 hospitals is $22,002, 4.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.