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

Posted commercial rates at 29 Colorado hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Longs Peak Hospital Longmont$4,8620.8×42025-11-01
HCA HealthONE Swedish Englewood$5,1820.8×52026-09-01
Hca Healthone Mountain Ridge Thornton$5,2700.8×52026-09-01
Uchealth Highlands Ranch Hospital Highlands Ranch$5,4180.9×32025-11-01
HCA HealthONE Presbyterian/St. Luke's Denver$5,4920.9×52026-09-01
Hca Healthone Rose Denver$5,6130.9×52026-09-01
HCA HealthONE Sky Ridge Lone Tree$5,6240.9×52026-09-01
Denver Health Medical Center Denver$5,8360.9×42026-04-30
Intermountain Health St. Mary'S Regional Hospital Grand Junction$5,9450.9×32026-03-22
Adventhealth Porter Denver$6,2391.0×32026-04-01
Adventhealth Avista Louisville$6,2391.0×32026-04-01
Adventhealth Parker Parker$6,2391.0×32026-04-01
Adventhealth Littleton Littleton$6,2391.0×32026-04-01
Adventhealth Castle Rock Castle Rock$6,2391.0×32026-04-01
Uchealth Pikes Peak Regional Hospital Woodland Park$6,2521.0×22025-11-01
UCHealth University of Colorado Hospital Aurora$6,8661.1×32025-11-01
Uchealth Grandview Hospital Colorado Springs$7,0381.1×42025-11-01
Uchealth Broomfield Hospital Broomfield$7,1551.1×42025-11-01
Lutheran Medical Center Wheat Ridge$7,2001.1×102026-03-22
Intermountain Health Saint Joseph Hospital Denver$7,2001.1×102026-03-22
Intermountain Health Good Samaritan Hospital Lafayette$7,2001.1×102026-03-22
Uchealth Yampa Valley Medical Center Steamboat Springs$7,6081.2×12025-11-01
Intermountain Health Platte Valley Hospital Brighton$7,8921.3×62026-03-22
Uchealth Greeley Hospital Greeley$9,7921.6×22025-11-01
Aspen Valley Hospital District Aspen$10,1721.6×12026-03-26
Parkview Medical Center, Inc Pueblo$10,7601.7×42025-11-01
Animas Surgical Hospital, Llc Durango$10,8751.7×32026-03-16
Poudre Valley Hospital Fort Collins$11,7201.9×22025-11-01
Medical Center Of The Rockies Loveland$11,7201.9×22025-11-01

Questions

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

29 Colorado 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 29 hospitals is $6,252, 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.