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Adenoid removal (child) in Montana: what insurers pay

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

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CPT 42830

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$6,1811.8×222026-03-31
Intermountain Health St Vincent Regional Hospital Billings$6,4481.9×82026-03-22
Intermountain Health St James Hospital Butte$6,8102.0×32026-03-22
Great Falls Clinic Hospital Great Falls$7,5002.2×22026-02-18
Providence St Joseph Medical Center Polson$9,2832.7×12026-04-01

Questions

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

5 Montana 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 $6,810, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.