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Adenoid removal (child) in Pittsburgh PA

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
Jefferson Hospital median $4,158 · local Medicare $3,229 · file 2026-04-14
Aetna$7,6002.4×1
Cigna$7,6742.4×2
Highmark BCBS$4,1581.3×13
Humana$3,3071.0×1
Martin's Point$3,1201.0×1
UnitedHealthcare$10,2203.2×1
University of Pittsburgh Medical Center$2,0100.6×1
Upmc Washington median $5,527 · local Medicare $3,229 · file 2026-03-06
Aetna$4,8701.5×2
City of Washington$6,1841.9×1
Highmark BCBS$6,4182.0×6
UPMC Health Plan$3,1541.0×1
Allegheny Valley Hospital median $6,586 · local Medicare $3,229 · file 2026-04-14
Aetna$7,8752.4×1
Cigna$8,8842.8×2
Highmark BCBS$5,2971.6×14
Humana$3,3071.0×1
Martin's Point$3,1201.0×1
UnitedHealthcare$9,6023.0×2
Forbes Hospital median $6,786 · local Medicare $3,229 · file 2026-04-14
Aetna$8,8922.8×1
Cigna$9,1102.8×2
Highmark BCBS$4,6791.4×14
Humana$3,3071.0×1
Martin's Point$3,1201.0×1
UnitedHealthcare$9,6023.0×2
Ahn Wexford Hospital median $7,102 · local Medicare $3,229 · file 2026-04-14
Aetna$9,4842.9×1
Cigna$10,3523.2×2
Highmark BCBS$4,7191.5×14
Humana$3,3071.0×1
Martin's Point$3,1201.0×1
UnitedHealthcare$10,1113.1×2
Allegheny General Hospital median $8,163 · local Medicare $3,229 · file 2026-04-14
Aetna$10,4273.2×1
Cigna$10,3523.2×2
Highmark BCBS$5,9741.9×14
Humana$3,3071.0×1
Martin's Point$3,1201.0×1
UnitedHealthcare$10,6023.3×2

Questions

How much does adenoid removal (child) cost with commercial insurance in Pittsburgh PA?

6 Pittsburgh PA hospitals post usable commercial rates for CPT 42830, hospital outpatient. The median across hospitals is $6,686; hospital medians range from $4,158 to $8,163. Your cost depends on your plan's deductible and coinsurance.