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

Posted commercial rates at 14 Arkansas hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Bradley County Medical Center Warren$4,0000.7×12026-04-08
Chi St Vincent Morrilton Morrilton$4,2120.8×22026-02-28
Chi St Vincent Hospital Hot Springs Hot Springs$4,5510.8×22026-02-28
Washington Regional Medical Center Fayetteville$4,5780.8×62026-04-01
National Park Medical Center Hot Springs$5,3550.9×22026-07-17
Izard Regional Hospital Llc Calico Rock$5,4311.0×12026-03-30
Ozarks Community Hospital Of Gravette Gravette$5,5631.0×12026-08-13
Arkansas Children'S Hospital Little Rock$5,5631.0×12026-08-13
Arkansas Children'S Northwest, Inc Springdale$5,5631.0×12026-08-13
Conway Regional Medical Center, Inc Conway$5,8121.0×72026-07-02
Mercy Hospital Northwest Arkansas Rogers$6,6801.2×22026-06-08
Mercy Hospital Fort Smith Fort Smith$6,6801.2×22026-06-08
Dardanelle Regional Medical Center Dardanelle$7,4401.4×12026-08-17
Nea Baptist Memorial Hospital Jonesboro$8,1771.5×502026-02-27

Questions

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

14 Arkansas 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 14 hospitals is $5,563, 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.