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

Posted commercial rates at 7 Colorado hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Porter Denver$4,7120.8×22026-04-01
Adventhealth Parker Parker$4,7120.8×22026-04-01
HCA HealthONE Swedish Englewood$5,1640.8×42026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$5,3030.8×42026-09-01
HCA HealthONE Sky Ridge Lone Tree$5,4470.9×42026-09-01
Hca Healthone Rose Denver$5,5520.9×42026-09-01
UCHealth University of Colorado Hospital Aurora$6,8661.1×32025-11-01

Questions

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

7 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 7 hospitals is $5,303, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.