Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in Austin TX
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 42820
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Ascension Seton Medical Center Austin median $4,657 · local Medicare $5,947 · file 2026-01-01 | |||
| BCBS TX | $4,657 | 0.8× | 4 |
| Dell Seton Med Center At The University Of Tx median $4,657 · local Medicare $5,947 · file 2026-01-01 | |||
| BCBS TX | $4,657 | 0.8× | 4 |
| Ascension Seton Southwest median $4,657 · local Medicare $5,947 · file 2026-01-01 | |||
| BCBS TX | $4,657 | 0.8× | 4 |
| Ascension Seton Northwest median $4,657 · local Medicare $5,947 · file 2026-01-01 | |||
| BCBS TX | $4,657 | 0.8× | 4 |
| Cedar Park Regional Medical Center median $4,657 · local Medicare $5,947 · file 2026-01-01 | |||
| BCBS TX | $4,657 | 0.8× | 4 |
| Ascension Seton Hays median $4,657 · local Medicare $5,947 · file 2026-01-01 | |||
| BCBS TX | $4,657 | 0.8× | 4 |
| St David's Medical Center median $4,863 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $4,863 | 0.8× | 5 |
| BCBS TX | $14,746 | 2.5× | 5 |
| Cigna | $3,965 | 0.7× | 5 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $3,270 | 0.5× | 1 |
| Harbor Health Team | $5,675 | 1.0× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.9× | 2 |
| MODA Health | $5,927 | 1.0× | 2 |
| Moda | $4,836 | 0.8× | 1 |
| Nomi Health | $4,370 | 0.7× | 3 |
| Oscar | $5,926 | 1.0× | 5 |
| UnitedHealthcare | $6,035 | 1.0× | 3 |
| St David's South Austin Medical Center median $4,863 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $4,863 | 0.8× | 5 |
| BCBS TX | $11,981 | 2.0× | 5 |
| Cigna | $3,965 | 0.7× | 5 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $3,270 | 0.5× | 1 |
| Harbor Health Team | $5,675 | 1.0× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.9× | 2 |
| MODA Health | $5,927 | 1.0× | 2 |
| Moda | $4,836 | 0.8× | 1 |
| Nomi Health | $4,370 | 0.7× | 3 |
| Oscar | $5,926 | 1.0× | 5 |
| UnitedHealthcare | $6,035 | 1.0× | 3 |
| Round Rock Medical Center median $4,863 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $4,863 | 0.8× | 5 |
| BCBS TX | $13,921 | 2.3× | 5 |
| Cigna | $3,965 | 0.7× | 5 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $3,270 | 0.5× | 1 |
| Harbor Health Team | $5,675 | 1.0× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.9× | 2 |
| MODA Health | $5,927 | 1.0× | 2 |
| Moda | $4,836 | 0.8× | 1 |
| Nomi Health | $4,370 | 0.7× | 3 |
| Oscar | $5,926 | 1.0× | 5 |
| UnitedHealthcare | $6,035 | 1.0× | 3 |
| North Austin Medical Center median $4,863 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $4,863 | 0.8× | 5 |
| BCBS TX | $11,981 | 2.0× | 5 |
| Cigna | $3,965 | 0.7× | 5 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $3,270 | 0.5× | 1 |
| Harbor Health Team | $5,675 | 1.0× | 1 |
| Healthcare Highways (rental network) | $5,414 | 0.9× | 2 |
| MODA Health | $5,927 | 1.0× | 2 |
| Moda | $4,836 | 0.8× | 1 |
| Nomi Health | $4,370 | 0.7× | 3 |
| Oscar | $5,926 | 1.0× | 5 |
| UnitedHealthcare | $6,035 | 1.0× | 3 |
| Baylor Scott & White Medical Center- Austin median $7,514 · local Medicare $5,947 · file 2026-06-13 | |||
| BCBS TX | $8,828 | 1.5× | 3 |
| Baylor Scott & White Health Plan | $8,474 | 1.4× | 2 |
| Cigna | $4,463 | 0.8× | 2 |
| Humana | $6,022 | 1.0× | 1 |
| Mark Cuban | $14,507 | 2.4× | 1 |
| UnitedHealthcare | $6,555 | 1.1× | 1 |
| Baylor Scott & White Medical Center ? Pflugerville median $8,474 · local Medicare $5,947 · file 2026-06-13 | |||
| Baylor Scott & White Health Plan | $8,474 | 1.4× | 2 |
| Cigna | $4,463 | 0.8× | 2 |
| HealthSmart (rental network) | $6,304 | 1.1× | 1 |
| Humana | $6,022 | 1.0× | 1 |
| Mark Cuban | $14,507 | 2.4× | 1 |
| Sedgwick | $8,890 | 1.5× | 1 |
| Scott & White Hospital-Round Rock median $8,651 · local Medicare $5,947 · file 2026-06-13 | |||
| BCBS TX | $8,828 | 1.5× | 3 |
| Baylor Scott & White Health Plan | $8,474 | 1.4× | 2 |
| Cigna | $4,463 | 0.8× | 2 |
| HealthSmart (rental network) | $6,304 | 1.1× | 1 |
| Humana | $6,022 | 1.0× | 1 |
| Injury Management Organization | $8,890 | 1.5× | 1 |
| Mark Cuban | $14,507 | 2.4× | 1 |
| Sedgwick | $8,890 | 1.5× | 1 |
| UnitedHealthcare | $6,555 | 1.1× | 1 |
Questions
How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in Austin TX?
13 Austin TX hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $4,863; hospital medians range from $4,657 to $8,651. Your cost depends on your plan's deductible and coinsurance.