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Adenoid removal (child) in San Francisco Bay Area CA

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
Good Samaritan Hospital median $7,098 · local Medicare $4,877 · file 2026-09-01
Aetna$8,7401.8×3
Blue Shield of California$14,6663.0×2
Bright Health$4,8501.0×1
Cigna$7,0981.5×4
Elevance/Anthem/Empire$5,6061.1×2
MedCare Partners$4,8771.0×1
MultiPlan/PHCS (rental network)$3,4390.7×1
UnitedHealthcare$9,4141.9×1
Stanford Health Care Tri-Valley median $7,494 · local Medicare $4,682 · file 2026-04-01
Aetna$7,9451.7×2
Blue Shield of California$10,4802.2×2
Cigna$6,4481.4×1
UnitedHealthcare$7,0421.5×1
John Muir Medical Center - Walnut Creek Campus median $8,567 · local Medicare $4,682 · file 2026-03-23
Aetna$10,6942.3×4
Alignment Health$4,6821.0×1
BCBS (other)$27,4795.9×1
Blue Shield of California$15,8003.4×5
Brms$27,4795.9×1
Canopy Hn HMO$8,5671.8×1
Cigna$16,5263.5×3
Covid19 Hrsa Uninsured Testing And Treatment Fund$4,6821.0×1
Donor Network West$4,0000.9×1
Elevance/Anthem/Empire$27,4795.9×7
Essence Healthcare$4,6821.0×2
Generic Commercial/Indemnity$5,8521.2×1
Generic HMO$5,8521.2×1
Generic PPO$5,8521.2×1
UnitedHealthcare$27,6705.9×7
St Mary's Medical Center median $10,378 · local Medicare $4,792 · file 2026-04-01
Aetna$11,5642.4×1
Blue Shield of California$10,3782.2×1
Elevance/Anthem/Empire$16,2183.4×2
Healthnet$8,6601.8×1
Heritage Provider Network$4,7971.0×2
Kaiser Permanente$10,8142.3×1
UnitedHealthcare$4,6321.0×2
Stanford Health Care median $22,041 · local Medicare $4,877 · file 2026-04-01
Aetna$34,6907.1×1
Elevance/Anthem/Empire$16,4613.4×1
UnitedHealthcare$22,0414.5×1

Questions

How much does adenoid removal (child) cost with commercial insurance in San Francisco Bay Area CA?

5 San Francisco Bay Area CA hospitals post usable commercial rates for CPT 42830, hospital outpatient. The median across hospitals is $8,567; hospital medians range from $7,098 to $22,041. Your cost depends on your plan's deductible and coinsurance.