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Adenoid removal (child) in Michigan: what insurers pay

Posted commercial rates at 42 Michigan 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
Oaklawn Hospital Marshall$1,8540.6×22026-03-27
Trinity Health Oakland Hospital Pontiac$2,3690.7×222026-03-31
Mclaren Bay Region Bay City$2,5110.8×12025-12-31
Trinity Health Ann Arbor Hospital Ann Arbor$2,5290.8×162026-03-31
Henry Ford Health -St John Hospital Detroit$2,6300.8×12026-01-01
Trinity Health Muskegon Hospital Muskegon$2,6420.8×222026-03-31
Trinity Health Grand Rapids Hospital Grand Rapids$2,6840.8×222026-03-31
Trinity Health Livonia Hospital Livonia$2,6990.8×222026-03-31
Henry Ford Health Rochester Hospital Rochester$2,7890.8×12026-01-01
Mclaren Port Huron Port Huron$2,8760.9×22025-12-31
Mclaren Greater Lansing Lansing$3,0540.9×22025-12-31
Corewell Health Dearborn Hospital Dearborn$3,0670.9×12026-05-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$3,0670.9×22026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$3,0670.9×22026-05-01
Corewell Health Wayne Hospital Wayne$3,0670.9×22026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$3,0670.9×22026-05-01
Corewell Health Trenton Hospital Trenton$3,0670.9×22026-05-01
Corewell Health Taylor Hospital Taylor$3,0670.9×22026-05-01
Munson Healthcare Otsego Memorial Hospital Gaylord$3,1420.9×22026-04-17
Munson Healthcare Manistee Hospital Manistee$3,2231.0×42026-04-17
Munson Healthcare Grayling Hospital Grayling$3,3041.0×82026-04-17
Munson Healthcare Cadillac Hospital Cadillac$3,3041.0×72026-04-17
Munson Medical Center Traverse City$3,3041.0×82026-04-17
Henry Ford Health Providence Southfield Hospital Southfield$3,6061.1×12026-01-01
Henry Ford Genesys Hospital Grand Blanc$3,6571.1×32026-01-01
Trinity Health Livingston Hospital Howell$3,7261.1×222026-03-31
Mclaren Macomb Mount Clemens$3,7981.1×22025-12-31
Henry Ford Health Macomb Hospital Clinton Township$3,8121.1×82026-06-28
Wyandotte Hospital And Medical Center Wyandotte$3,8311.2×82026-06-28
Henry Ford Health West Bloomfield Hospital West Bloomfield$3,8831.2×82026-06-28
Henry Ford Health Hospital Detroit$4,1961.3×82026-06-28
Henry Ford Health Jackson Hospital Jackson$4,8061.4×72026-06-28
Corewell Health Zeeland Hospital Zeeland$5,2841.6×22026-05-01
Corewell Health Big Rapids Hospital Big Rapids$5,2841.6×22026-05-01
Corewell Health Ludington Hospital Ludington$5,2841.6×22026-05-01
Corewell Health Reed City Hospital Reed City$5,2841.6×22026-05-01
Corewell Health Gerber Hospital Fremont$5,2841.6×22026-05-01
Corewell Health Pennock Hospital Hastings$5,2841.6×22026-05-01
Holland Hospital Holland$5,3031.6×12026-09-21
Harper University Hospital Detroit$5,8121.8×12026-09-02
Huron Valley-Sinai Hospital Commerce Township$5,8121.8×12026-05-20
Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph$7,7422.3×12026-05-01

Questions

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

42 Michigan hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 42 hospitals is $3,304, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.