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Tonsils and adenoids removal (child under 12) in Cleveland OH

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 · insurerRate× MedicarePlans
University Hospitals - Elyria Medical Center median $3,256 · local Medicare $5,601 · file 2026-07-14
Aetna$4,2080.8×1
Elevance/Anthem/Empire$3,0920.6×2
UnitedHealthcare$3,2560.6×2
Cleveland Clinic (main campus) median $6,238 · local Medicare $5,601 · file 2026-06-16
Cigna$5,5971.0×1
Elevance/Anthem/Empire$9,5091.7×1
UnitedHealthcare$6,2381.1×1
Medina Hospital median $10,614 · local Medicare $5,601 · file 2026-06-15
Elevance/Anthem/Empire$10,6141.9×3
Cleveland Clinic Lutheran Hospital median $12,125 · local Medicare $5,601 · file 2026-06-15
Elevance/Anthem/Empire$12,1252.2×1
Cleveland Clinic Hillcrest Hospital median $13,731 · local Medicare $5,601 · file 2026-06-15
Elevance/Anthem/Empire$13,7312.5×2

Questions

How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in Cleveland OH?

5 Cleveland OH hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $10,614; hospital medians range from $3,256 to $13,731. Your cost depends on your plan's deductible and coinsurance.