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

Posted commercial rates at 16 Arizona hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Chandler Regional Medical Center (Dignity) Chandler$3,6100.6×22026-02-28
Mercy Gilbert Medical Center (Dignity) Gilbert$3,6100.6×22026-02-28
Yuma Regional Medical Center Yuma$3,7890.6×22025-09-30
Honorhealth Tempe Medical Center Tempe$4,0000.6×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical Center Scottsdale$4,0000.6×22026-04-01
HonorHealth Sonoran Crossing Medical Center Phoenix$4,0000.6×22026-04-01
HonorHealth John C. Lincoln Medical Center Phoenix$4,2310.7×32026-04-01
HonorHealth Scottsdale Osborn Medical Center Scottsdale$4,2310.7×32026-04-01
HonorHealth Scottsdale Shea Medical Center Scottsdale$4,2310.7×32026-04-01
HonorHealth Deer Valley Medical Center Phoenix$4,2310.7×32026-04-01
Cobre Valley Regional Medical Center Globe$4,4650.7×32026-06-29
Phoenix Children'S Hospital Phoenix$4,6970.7×62026-01-01
Tucson Medical Center Tucson$5,3550.8×12026-04-30
Benson Hospital Benson$6,0471.0×12026-05-13
Western Arizona Regional Medical Center Bullhead City$7,1981.1×22026-04-01
Valley View Medical Center Fort Mohave$11,8261.9×12026-07-10

Questions

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

16 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 16 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.