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

Posted commercial rates at 3 Arizona hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
HonorHealth Scottsdale Thompson Peak Medical Center Scottsdale$4,0000.6×22026-04-01
HonorHealth Scottsdale Osborn Medical Center Scottsdale$4,2310.7×32026-04-01
HonorHealth Scottsdale Shea Medical Center Scottsdale$4,2310.7×32026-04-01

Questions

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

3 Arizona 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 3 hospitals is $4,231, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.