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Tonsils and adenoids removal (child under 12) in Detroit MI

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
Corewell Health Dearborn Hospital median $3,067 · local Medicare $5,899 · file 2026-05-01
Priority Health	$3,067	0.5×	1
Corewell Health Beaumont Grosse Pointe Hospital median $3,067 · local Medicare $5,899 · file 2026-05-01
Cigna	$3,067	0.5×	1
Priority Health	$3,067	0.5×	1
Corewell Health William Beaumont University Hospit median $3,067 · local Medicare $5,899 · file 2026-05-01
Cigna	$3,067	0.5×	1
Priority Health	$3,067	0.5×	1
Corewell Health Wayne Hospital median $3,067 · local Medicare $5,899 · file 2026-05-01
Cigna	$3,067	0.5×	1
Priority Health	$3,067	0.5×	1
Corewell Health Farmington Hills Hospital median $3,067 · local Medicare $5,899 · file 2026-05-01
Cigna	$3,067	0.5×	1
Priority Health	$3,067	0.5×	1
Corewell Health Trenton Hospital median $3,067 · local Medicare $5,899 · file 2026-05-01
Cigna	$3,067	0.5×	1
Priority Health	$3,067	0.5×	1
Trinity Health Livonia Hospital median $3,329 · local Medicare $5,899 · file 2026-03-31
BCBS (other)	$3,329	0.6×	1
BCBS AZ	$3,329	0.6×	1
BCBS MN	$3,329	0.6×	1
BCBS Michigan	$3,329	0.6×	28
BCBS NC	$3,329	0.6×	1
BCBS TN	$3,329	0.6×	1
Bcn Domestic	$3,329	0.6×	1
CareFirst BCBS	$3,329	0.6×	2
Elevance/Anthem/Empire	$3,329	0.6×	13
Employee Benefit Logistic	$13,277	2.3×	1
Excellus BCBS	$3,329	0.6×	1
Health Cost Solutions	$9,147	1.6×	1
Highmark BCBS	$3,329	0.6×	5
Horizon BCBS NJ	$3,329	0.6×	1
Independence Blue Cross	$3,329	0.6×	1
Kaiser Permanente	$3,329	0.6×	1
Premera Blue Cross	$3,329	0.6×	2
Regence BlueShield	$3,329	0.6×	4
Vitalcore	$9,147	1.6×	1
Wellmark BCBS	$3,329	0.6×	2
Wellpath	$9,147	1.6×	1
Trinity Health Livingston Hospital median $4,597 · local Medicare $5,899 · file 2026-03-31
BCBS (other)	$4,597	0.8×	1
BCBS AZ	$4,597	0.8×	1
BCBS MN	$4,597	0.8×	1
BCBS Michigan	$4,597	0.8×	28
BCBS NC	$4,597	0.8×	1
BCBS TN	$4,597	0.8×	1
Bcn Domestic	$4,597	0.8×	1
CareFirst BCBS	$4,597	0.8×	2
Elevance/Anthem/Empire	$4,597	0.8×	13
Employee Benefit Logistic	$13,300	2.3×	1
Excellus BCBS	$4,597	0.8×	1
Health Cost Solutions	$9,162	1.6×	1
Highmark BCBS	$4,597	0.8×	5
Horizon BCBS NJ	$4,597	0.8×	1
Independence Blue Cross	$4,597	0.8×	1
Kaiser Permanente	$4,597	0.8×	1
Premera Blue Cross	$4,597	0.8×	2
Priority Health	$2,963	0.5×	1
Regence BlueShield	$4,597	0.8×	4
Vitalcore	$9,162	1.6×	1
Wellmark BCBS	$4,597	0.8×	2
Wellpath	$9,162	1.6×	2
Mclaren Lapeer Region median $4,722 · local Medicare $5,899 · file 2025-12-31
BCBS Michigan	$3,676	0.6×	1
MI Amish Medical Board	$5,769	1.0×	1
Henry Ford Health Rochester Hospital median $4,722 · local Medicare $5,899 · file 2026-01-01
BCBS Michigan	$4,722	0.8×	4
Henry Ford Health Macomb Hospital median $5,859 · local Medicare $5,899 · file 2026-06-28
Aetna	$4,112	0.7×	1
BCBS Michigan	$4,703	0.8×	3
Bcn	$4,703	0.8×	1
HAP	$7,078	1.2×	1
Nomi	$10,853	1.8×	1
Priority Health	$7,900	1.3×	1
ScriptGuideRX	$3,085	0.5×	1
UnitedHealthcare	$5,859	1.0×	2
Vitalcore	$13,567	2.3×	1
Huron Valley-Sinai Hospital median $6,158 · local Medicare $5,899 · file 2026-05-20
BCBS Michigan	$6,505	1.1×	4
UnitedHealthcare	$5,812	1.0×	1
Harper University Hospital median $6,842 · local Medicare $5,899 · file 2026-09-02
BCBS Michigan	$7,873	1.3×	4
UnitedHealthcare	$5,812	1.0×	1
Henry Ford Health Hospital median $7,489 · local Medicare $5,899 · file 2026-06-28
BCBS Michigan	$5,463	0.9×	4
Bcn	$10,101	1.7×	1
HAP	$7,078	1.2×	1
Nomi	$11,502	1.9×	1
Priority Health	$7,900	1.3×	1
ScriptGuideRX	$3,085	0.5×	1
UnitedHealthcare	$5,899	1.0×	1
Vitalcore	$13,567	2.3×	1
Trinity Health Oakland Hospital median $9,143 · local Medicare $5,899 · file 2026-03-31
Employee Benefit Logistic	$13,609	2.3×	1
Health Cost Solutions	$9,143	1.5×	1
Vitalcore	$9,143	1.5×	1
Wellpath	$9,143	1.5×	1

Questions

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

15 Detroit MI hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $4,597; hospital medians range from $3,067 to $9,143. Your cost depends on your plan's deductible and coinsurance.