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

Posted commercial rates at 3 Hawaii hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Wilcox Memorial Hospital Lihue$4,7650.7×72026-02-12
Pali Momi Medical Center Aiea$5,0920.7×12026-02-12
Straub Clinic And Hospital Honolulu$7,3631.1×22026-02-12

Questions

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

3 Hawaii 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 3 hospitals is $5,092, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.