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Adenoid removal (child) in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 42830

Hospital · insurerRate× MedicarePlans
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $3,542 · local Medicare $4,139 · file 2026-09-05
Aetna$3,2450.8×1
Elevance/Anthem/Empire$2,6460.6×7
EmblemHealth$5,0141.2×1
Magnacare (rental network)$4,6051.1×4
Oscar$6,2081.5×1
UnitedHealthcare$3,2050.8×3
Vaccn$3,8380.9×1
Jacobi Medical Center median $3,542 · local Medicare $4,139 · file 2026-09-05
Aetna$3,2450.8×1
Elevance/Anthem/Empire$2,6440.6×7
EmblemHealth$5,0141.2×1
Magnacare (rental network)$4,6051.1×4
Oscar$6,2081.5×1
UnitedHealthcare$3,2050.8×3
Vaccn$3,8380.9×1
Elmhurst Hospital Center median $3,542 · local Medicare $4,139 · file 2026-09-05
Aetna$3,2450.8×1
Elevance/Anthem/Empire$2,6090.6×7
EmblemHealth$5,0141.2×1
Magnacare (rental network)$4,6051.1×4
Oscar$6,2081.5×1
UnitedHealthcare$3,2050.8×3
Vaccn$3,8380.9×1
South Brooklyn Health median $3,542 · local Medicare $4,139 · file 2026-09-05
Aetna$3,2450.8×1
Elevance/Anthem/Empire$2,6340.6×7
EmblemHealth$5,0141.2×1
Magnacare (rental network)$4,6051.1×4
Oscar$6,2081.5×1
UnitedHealthcare$3,2050.8×3
Vaccn$3,8380.9×1
Maimonides Medical Center median $6,397 · local Medicare $4,139 · file 2026-04-01
1199SEIU$3,8980.9×1
Aetna$6,6341.6×3
Centivo$9,0102.2×1
Elevance/Anthem/Empire$6,1601.5×2
EmblemHealth$12,5813.0×1
Magnacare (rental network)$6,3601.5×1
UnitedHealthcare$5,0361.2×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,213 · local Medicare $4,139 · file 2026-01-01
1199SEIU$8,5392.1×3
Aetna$11,0802.7×24
BCBS (other)$10,3512.5×16
Centerlight$3,9140.9×2
Cigna$6,4871.6×22
Elevance/Anthem/Empire$10,3512.5×34
EmblemHealth$8,4272.0×71
Magnacare (rental network)$25,7986.2×10
UnitedHealthcare$9,8872.4×24
Montefiore Medical Center median $11,263 · local Medicare $4,139 · file 2026-04-01
1199SEIU$6,1041.5×1
Aetna$24,4705.9×2
Christian Brothers$25,8396.2×1
Cigna$9,0322.2×2
Elevance/Anthem/Empire$6,7401.6×8
EmblemHealth$11,2632.7×6
Healthfirst$3,5180.8×1
Nat Assoc Letter Carriers$25,8396.2×1
Nippon Life Insurance$25,8396.2×1
Northwell$12,7883.1×1
Oscar$6,6021.6×1
Point Comfort$4,1391.0×1
UnitedHealthcare$13,2203.2×3

Questions

How much does adenoid removal (child) cost with commercial insurance in New York City?

7 New York City hospitals post usable commercial rates for CPT 42830, hospital outpatient. The median across hospitals is $3,542; hospital medians range from $3,542 to $11,263. Your cost depends on your plan's deductible and coinsurance.