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Adenoid removal (child) in Ohio: what insurers pay

Posted commercial rates at 6 Ohio hospitals, each next to its own Medicare base rate.

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CPT 42830

HospitalMedian across insurers× MedicareInsurersFile date
University Hospitals - Elyria Medical Center Elyria$3,4051.1×42026-07-14
Medina Hospital Medina$5,9441.9×12026-06-15
Cleveland Clinic (main campus) Cleveland$6,1301.9×42026-06-16
Cleveland Clinic Lutheran Hospital Cleveland$6,7912.2×12026-06-15
Bethesda North Cincinnati$7,0162.2×42026-04-01
Cleveland Clinic Hillcrest Hospital Mayfield Heights$7,6902.5×12026-06-15

Questions

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

6 Ohio hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 6 hospitals is $6,461, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.