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

Posted commercial rates at 32 Georgia hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Atrium Health Navicent Peach Byron$3,1630.6×22025-11-19
Atrium Health Navicent The Medical Center Macon$3,3650.6×52025-11-19
St Francis Hospital- Emory Healthcare Columbus$3,6330.7×42026-04-01
Navicent Health Baldwin Milledgeville$4,5580.9×32025-11-19
Emory Hillandale Hospital Lithonia$4,6950.8×42026-04-01
Doctors Hospital Augusta$4,9130.9×62026-09-01
Memorial Health Meadows Hospital Vidalia$5,4001.0×52026-09-01
Emory Houston Hospital Warner Robins Warner Robins$5,4951.1×32026-04-01
Emory University Hospital Atlanta$5,8861.0×62026-04-01
Emory Decatur Hospital Decatur$5,8861.0×62026-04-01
Emory University Hospital Midtown Atlanta$5,8861.0×62026-04-01
Emory Saint Joseph's Hospital Atlanta$5,8861.0×62026-04-01
Emory Johns Creek Hospital Johns Creek$5,8861.0×62026-04-01
Memorial Satilla Health Waycross$5,9841.1×62026-09-01
Wellstar West Georgia Medical Center Lagrange$5,9941.2×42026-04-01
Wellstar Kennestone Hospital Marietta$5,9941.0×42026-04-01
Wellstar Spalding Medical Center Griffin$5,9941.0×42026-04-01
Wellstar Paulding Medical Center Hiram$5,9941.0×42026-04-01
Wellstar Cobb Medical Center Austell$5,9941.0×42026-04-01
Wellstar Douglas Medical Center Douglasville$5,9941.0×42026-04-01
Wellstar North Fulton Hospital Roswell$5,9941.0×42026-04-01
Wellstar Sylvan Grove Medical Center Jackson$5,9941.0×42026-04-01
Fairview Park Hospital Dublin$6,4591.2×72026-09-01
Tanner Medical Center - Carrollton Carrollton$6,5001.1×12026-03-24
Jefferson Hospital Louisville$7,0641.4×72026-04-14
Atrium Health Floyd Medical Center Rome$8,6461.4×12025-11-19
Adventhealth Redmond Rome$9,0581.5×42026-04-01
East Georgia Regional Medical Center Statesboro$13,6612.6×52026-04-01
Northeast Georgia Medical Center, Inc Gainesville$19,2263.4×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$19,2263.7×22026-04-01
Northeast Georgia Medical Center Barrow Winder$19,2263.2×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$19,2263.2×22026-04-01

Questions

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

32 Georgia 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 32 hospitals is $5,994, 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.