Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in Washington DC
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 · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| George Washington Univ Hospital median $5,051 · local Medicare $6,993 · file 2026-09-01 | |||
| Aetna | $4,169 | 0.6× | 1 |
| Cigna | $4,250 | 0.6× | 1 |
| Elevance/Anthem/Empire | $6,312 | 0.9× | 2 |
| Mdipa | $5,051 | 0.7× | 1 |
| UnitedHealthcare | $12,450 | 1.8× | 2 |
| Spotsylvania Regional Medical Center median $5,498 · local Medicare $6,125 · file 2026-09-01 | |||
| Bright Health | $3,993 | 0.7× | 1 |
| Cigna | $4,625 | 0.8× | 2 |
| Elevance/Anthem/Empire | $5,876 | 1.0× | 4 |
| Sentara Optima Health | $7,208 | 1.2× | 3 |
| UnitedHealthcare | $5,498 | 0.9× | 1 |
| Inova Alexandria Hospital median $5,955 · local Medicare $6,125 · file 2026-04-01 | |||
| Aetna | $5,955 | 1.0× | 3 |
| CareFirst BCBS | $9,927 | 1.6× | 2 |
| Cigna | $5,689 | 0.9× | 2 |
| Elevance/Anthem/Empire | $15,683 | 2.6× | 2 |
| Innovation | $3,868 | 0.6× | 2 |
| Sentara Health | $5,073 | 0.8× | 2 |
| UnitedHealthcare | $6,158 | 1.0× | 2 |
| Inova Loudoun Hospital median $5,955 · local Medicare $6,125 · file 2026-04-01 | |||
| Aetna | $5,955 | 1.0× | 3 |
| CareFirst BCBS | $9,927 | 1.6× | 2 |
| Cigna | $5,689 | 0.9× | 2 |
| Elevance/Anthem/Empire | $15,929 | 2.6× | 2 |
| Innovation | $3,868 | 0.6× | 2 |
| Sentara Health | $5,073 | 0.8× | 2 |
| UnitedHealthcare | $6,158 | 1.0× | 2 |
| Inova Fairfax Hospital median $5,955 · local Medicare $6,125 · file 2026-04-01 | |||
| Aetna | $5,955 | 1.0× | 3 |
| CareFirst BCBS | $9,927 | 1.6× | 2 |
| Cigna | $5,689 | 0.9× | 2 |
| Elevance/Anthem/Empire | $16,173 | 2.6× | 2 |
| Innovation | $3,868 | 0.6× | 2 |
| Sentara Health | $5,073 | 0.8× | 2 |
| UnitedHealthcare | $6,158 | 1.0× | 2 |
| Inova Fair Oaks Hospital median $5,955 · local Medicare $6,125 · file 2026-04-01 | |||
| Aetna | $5,955 | 1.0× | 3 |
| CareFirst BCBS | $9,927 | 1.6× | 2 |
| Cigna | $5,689 | 0.9× | 2 |
| Elevance/Anthem/Empire | $15,999 | 2.6× | 2 |
| Innovation | $3,868 | 0.6× | 2 |
| Sentara Health | $5,073 | 0.8× | 2 |
| UnitedHealthcare | $6,158 | 1.0× | 2 |
| Inova Mount Vernon Hospital median $5,955 · local Medicare $6,125 · file 2026-04-01 | |||
| Aetna | $5,955 | 1.0× | 3 |
| CareFirst BCBS | $9,927 | 1.6× | 2 |
| Cigna | $5,689 | 0.9× | 2 |
| Elevance/Anthem/Empire | $15,820 | 2.6× | 2 |
| Innovation | $3,868 | 0.6× | 2 |
| Sentara Health | $5,073 | 0.8× | 2 |
| UnitedHealthcare | $6,158 | 1.0× | 2 |
| Reston Hospital Center median $7,242 · local Medicare $6,125 · file 2026-09-01 | |||
| Bright Health | $5,995 | 1.0× | 1 |
| CareFirst BCBS | $7,126 | 1.2× | 2 |
| Cigna | $4,625 | 0.8× | 2 |
| Elevance/Anthem/Empire | $8,764 | 1.4× | 4 |
| Sentara Optima Health | $7,947 | 1.3× | 2 |
| UnitedHealthcare | $7,357 | 1.2× | 1 |
| Stonesprings Hospital Center median $7,242 · local Medicare $6,125 · file 2026-09-01 | |||
| Bright Health | $5,995 | 1.0× | 1 |
| CareFirst BCBS | $7,126 | 1.2× | 2 |
| Cigna | $4,625 | 0.8× | 2 |
| Elevance/Anthem/Empire | $8,796 | 1.4× | 4 |
| Sentara Optima Health | $7,947 | 1.3× | 2 |
| UnitedHealthcare | $7,357 | 1.2× | 1 |
Questions
How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in Washington DC?
9 Washington DC hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $5,955; hospital medians range from $5,051 to $7,242. Your cost depends on your plan's deductible and coinsurance.