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Adenoid removal (child) in Ohio: what insurers pay

Posted commercial rates at 48 Ohio 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
Akron Children'S Hospital Akron$1,9930.6×12025-11-11
University Hospitals Samaritan Medical Center Ashland$2,5900.8×12026-07-14
University Hospitals Cleveland Medical Center Cleveland$2,6940.9×12026-07-14
University Hospitals Portage Medical Center Ravenna$2,9090.9×52026-07-14
Parma Community General Hospital Parma$2,9590.9×52026-07-14
Fisher-Titus Hospital Norwalk$3,1331.0×32026-04-29
Union Hospital Dover$3,2941.1×22026-06-15
University Hospitals - Elyria Medical Center Elyria$3,4051.1×62026-07-14
Euclid Hospital Euclid$3,4501.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$3,4501.1×32026-06-15
Marymount Hospital Garfield Heights$3,4501.1×32026-06-15
South Pointe Hospital Warrensville Heights$3,4501.1×32026-06-15
University Hospitals St. John Medical Center Westlake$3,4701.1×62026-07-14
Pomerene Hospital Millersburg$3,4911.1×32026-03-24
Nationwide Children'S Hospital Toledo, Llc Toledo$3,5571.1×42026-04-01
University Hospitals Conneaut Medical Center Conneaut$3,8111.2×42026-07-14
Medina Hospital Medina$4,4741.4×42026-06-15
University Hospitals Ahuja Medical Center Beachwood$4,5081.4×62026-07-14
MetroHealth System Cleveland$4,7931.5×82026-04-01
Mercy Medical Center Canton$4,8721.6×12026-06-15
Adena Pike Medical Center Waverly$5,0701.6×22026-08-19
West Chester Hospital, Llc West Chester$5,3251.6×42026-07-01
Cleveland Clinic Hillcrest Hospital Mayfield Heights$5,5701.8×42026-06-15
Akron General Medical Center Akron$5,6741.8×42026-06-15
University Of Cincinnati Medical Center, Llc Cincinnati$5,9401.8×52026-07-01
Cleveland Clinic (main campus) Cleveland$6,0211.9×72026-06-16
Aultman Hospital Canton$6,5662.1×42026-04-01
Adena Fayette Medical Center Washington Ch$6,7752.2×12026-08-19
Cleveland Clinic Fairview Hospital Cleveland$6,8312.2×52026-06-15
Summa Health System Akron$6,8432.2×92026-04-01
Bethesda North Cincinnati$7,0162.2×42026-04-01
Adena Regional Medical Center Chillicothe$7,1732.3×42026-08-19
Miami Valley Hospital Dayton$7,5622.3×22026-04-01
Atrium Medical Center Franklin$7,5732.3×22026-04-01
Upper Valley Medical Center Troy$7,6502.4×22026-04-01
Marietta Memorial Hospital Marietta$7,8422.5×12026-10-01
Mccullough-Hyde Memorial Hospital Oxford$8,1262.5×72026-04-01
Good Samaritan Hospital Cincinnati$8,1262.5×72026-04-01
Lima Memorial Health System Lima$9,1772.9×22026-04-01
Kettering Health Main Campus Kettering$10,0163.1×62026-04-01
Kettering Health Dayton Dayton$10,0163.1×62026-04-01
Soin Medical Center Beaver Creek$10,0163.1×62026-04-01
Kettering Health Greene Memorial Xenia$10,0563.1×62026-04-01
Kettering Health Troy Troy$10,0563.1×62026-04-01
Kettering Health Miamisburg Miamisburg$10,1603.1×62026-04-01
Alliance Community Hospital Alliance$11,3243.6×12026-04-01
Aultman Orrville Hospital Orrville$11,3243.6×12026-04-01
Salem Regional Medical Center Salem$12,7444.1×22026-04-01

Questions

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

48 Ohio hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 48 hospitals is $5,807, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.