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Adenoid removal (child) in Texas: what insurers pay

Posted commercial rates at 8 Texas 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
Ascension Seton Medical Center Austin Austin$2,5150.8×12026-01-01
Houston Methodist Hospital Houston$5,0521.5×62026-04-01
Methodist Hospital San Antonio$5,5001.6×52026-09-01
St David's Medical Center Austin$5,9261.8×52026-09-01
Medical City Plano Plano$6,6792.0×52026-09-01
Baylor University Medical Center Dallas$6,7032.0×32026-06-29
Medical City Mckinney McKinney$7,5442.3×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$9,6932.9×22026-04-21

Questions

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

8 Texas hospitals post usable commercial rates for adenoid removal (child) in their federal price-transparency files. For CPT 42830, hospital outpatient, the median across 8 hospitals is $6,303, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.