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Adenoid removal (child) in Rhode Island: what insurers pay

Posted commercial rates at 3 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 42830

HospitalMedian across insurers× MedicareInsurersFile date
The Miriam Hospital Providence$6,2511.7×32026-04-01
Newport Hospital Newport$6,7571.8×52026-04-01
Rhode Island Hospital Providence$9,8132.6×52026-04-01

Questions

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

3 Rhode Island hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 3 hospitals is $6,757, 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.