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Adenoid removal (child) in Massachusetts: what insurers pay

Posted commercial rates at 7 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 42830

HospitalMedian across insurers× MedicareInsurersFile date
Beth Israel Deaconess Hospital - Plymouth Plymouth$3,4920.9×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$3,5680.9×22026-04-01
Winchester Hospital Winchester$3,5770.9×32026-04-01
Beverly Hospital Corporation Beverly$3,6920.9×42026-04-01
New England Baptist Hospital Boston$3,9061.0×42026-04-01
Anna Jaques Hospital Newburyport$4,9331.2×32026-04-01
Beth Israel Deaconess Medical Center Boston$5,3481.4×22026-04-01

Questions

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

7 Massachusetts hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 7 hospitals is $3,692, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.