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Tonsils and adenoids removal (child under 12) in Alabama: what insurers pay

Posted commercial rates at 13 Alabama hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
North Alabama Shoals Hospital Muscle Shoals$2,7220.5×22026-07-23
North Alabama Medical Center Florence$2,9270.6×12026-07-23
Flowers Hospital Dothan$3,5400.7×32026-04-01
Prattville Baptist Hospital Prattville$3,6210.7×12025-12-30
Grandview Medical Center Birmingham$4,6090.8×32026-04-01
Crestwood Medical Center Huntsville$4,8520.9×52026-01-01
Coosa Valley Medical Center Sylacauga$5,2841.0×1
Gadsden Regional Medical Center Gadsden$5,3221.0×52026-04-01
Uab Medical West Bessemer$5,4821.0×22026-06-22
Washington County Hospital Chatom$6,3761.3×12026-05-05
Hale County Hospital Greensboro$6,3901.2×22026-04-01
Floyd Cherokee Medical Center Centre$6,9991.4×42025-11-19
East Alabama Medical Center Opelika$10,5482.1×52026-01-01

Questions

How much do insurers pay for tonsils and adenoids removal (child under 12) in Alabama?

13 Alabama hospitals post usable commercial rates for tonsils and adenoids removal (child under 12) in their federal price-transparency files. For CPT 42820, hospital outpatient, the median across 13 hospitals is $5,284, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.