Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in Houston TX
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 |
|---|---|---|---|
| Houston Methodist Baytown Hospital median $4,284 · local Medicare $5,947 · file 2026-04-01 | |||
| Aetna | $3,416 | 0.6× | 2 |
| BCBS TX | $9,895 | 1.7× | 1 |
| Cigna | $4,004 | 0.7× | 3 |
| Entrust | $4,284 | 0.7× | 1 |
| MultiPlan/PHCS (rental network) | $6,337 | 1.1× | 1 |
| UnitedHealthcare | $5,860 | 1.0× | 1 |
| Houston Methodist Sugar Land Hospital median $4,284 · local Medicare $5,947 · file 2026-04-01 | |||
| Aetna | $3,416 | 0.6× | 2 |
| BCBS TX | $9,895 | 1.7× | 1 |
| Cigna | $4,004 | 0.7× | 3 |
| Entrust | $4,284 | 0.7× | 1 |
| MultiPlan/PHCS (rental network) | $6,337 | 1.1× | 1 |
| UnitedHealthcare | $5,860 | 1.0× | 1 |
| Hca Houston Healthcare Clear Lake median $4,388 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $8,779 | 1.5× | 5 |
| Cigna | $4,522 | 0.8× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Kelsey Care (Boon-Chapman) | $4,255 | 0.7× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Hca Houston Healthcare Kingwood median $4,531 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $9,507 | 1.6× | 5 |
| Cigna | $10,158 | 1.7× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Kelsey Care (Boon-Chapman) | $4,255 | 0.7× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Hca Houston Healthcare Southeast median $4,807 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $9,507 | 1.6× | 5 |
| Cigna | $8,560 | 1.4× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Hca Houston Healthcare Conroe median $4,807 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $9,507 | 1.6× | 5 |
| Cigna | $10,158 | 1.7× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Hca Houston Healthcare Northwest median $4,807 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $9,507 | 1.6× | 5 |
| Cigna | $8,560 | 1.4× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Hca Houston Healthcare Medical Center median $4,807 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $10,041 | 1.7× | 5 |
| Cigna | $10,158 | 1.7× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Hca Houston Healthcare Tomball median $4,807 · local Medicare $5,947 · file 2026-09-01 | |||
| Aetna | $3,511 | 0.6× | 8 |
| BCBS TX | $9,507 | 1.6× | 5 |
| Cigna | $10,158 | 1.7× | 3 |
| Curative Administrators | $4,807 | 0.8× | 1 |
| Evry Health | $4,052 | 0.7× | 1 |
| Healthcare Highways (rental network) | $3,041 | 0.5× | 1 |
| Oscar | $5,571 | 0.9× | 1 |
| UnitedHealthcare | $4,250 | 0.7× | 2 |
| Houston Methodist Hospital median $5,054 · local Medicare $5,947 · file 2026-04-01 | |||
| Aetna | $4,093 | 0.7× | 2 |
| BCBS TX | $9,895 | 1.7× | 1 |
| Cigna | $4,004 | 0.7× | 3 |
| Entrust | $4,284 | 0.7× | 1 |
| MultiPlan/PHCS (rental network) | $6,337 | 1.1× | 1 |
| Uae | $23,787 | 4.0× | 1 |
| UnitedHealthcare | $5,824 | 1.0× | 1 |
| Houston Methodist West Hospital median $5,072 · local Medicare $5,947 · file 2026-04-01 | |||
| Aetna | $3,416 | 0.6× | 2 |
| BCBS TX | $9,895 | 1.7× | 1 |
| Cigna | $4,004 | 0.7× | 3 |
| Entrust | $4,284 | 0.7× | 1 |
| MultiPlan/PHCS (rental network) | $6,337 | 1.1× | 1 |
| Uae | $23,787 | 4.0× | 1 |
| UnitedHealthcare | $5,860 | 1.0× | 1 |
| Houston Methodist The Woodlands Hospital median $5,072 · local Medicare $5,947 · file 2026-04-01 | |||
| Advanced Medical Pricing Solutions | $11,894 | 2.0× | 1 |
| Aetna | $3,416 | 0.6× | 2 |
| BCBS TX | $9,895 | 1.7× | 1 |
| Cigna | $4,004 | 0.7× | 3 |
| Entrust | $4,284 | 0.7× | 1 |
| MultiPlan/PHCS (rental network) | $6,337 | 1.1× | 1 |
| UnitedHealthcare | $5,860 | 1.0× | 1 |
| Chi St Luke's Health Brazosport median $7,856 · local Medicare $5,947 · file 2026-02-28 | |||
| Aetna | $4,778 | 0.8× | 1 |
| BCBS TX | $7,206 | 1.2× | 5 |
| Bright Health | $8,505 | 1.4× | 1 |
| Cigna | $3,417 | 0.6× | 1 |
| Entrust | $13,402 | 2.3× | 1 |
| Humana | $12,887 | 2.2× | 1 |
| St. Luke's Health The Woodlands Hospital median $8,343 · local Medicare $5,947 · file 2026-02-28 | |||
| BCBS TX | $8,343 | 1.4× | 3 |
| Bright Health | $8,505 | 1.4× | 1 |
| Centene/Superior/Ambetter | $8,888 | 1.5× | 1 |
| Cigna | $6,075 | 1.0× | 4 |
| MultiPlan/PHCS (rental network) | $5,252 | 0.9× | 2 |
| NXHealth | $19,257 | 3.2× | 1 |
| Renaissance | $4,266 | 0.7× | 1 |
| UnitedHealthcare | $5,145 | 0.9× | 3 |
| St. Luke's Health Sugar Land Hospital median $8,424 · local Medicare $5,947 · file 2026-02-28 | |||
| BCBS TX | $8,343 | 1.4× | 3 |
| Bright Health | $8,505 | 1.4× | 1 |
| Centene/Superior/Ambetter | $8,888 | 1.5× | 1 |
| Cigna | $3,594 | 0.6× | 3 |
| Community Health Choice | $8,888 | 1.5× | 1 |
| MultiPlan/PHCS (rental network) | $5,252 | 0.9× | 2 |
| NX Health | $19,257 | 3.2× | 1 |
| Renaissance | $4,266 | 0.7× | 1 |
| UnitedHealthcare | $5,145 | 0.9× | 3 |
| Baylor St. Luke's Medical Center median $8,696 · local Medicare $5,947 · file 2026-02-28 | |||
| BCBS TX | $9,895 | 1.7× | 3 |
| Bright Health | $8,505 | 1.4× | 1 |
| Centene/Superior/Ambetter | $8,888 | 1.5× | 1 |
| Cigna | $3,594 | 0.6× | 3 |
| Community Health Choice | $8,888 | 1.5× | 1 |
| Employer Direct | $8,295 | 1.4× | 1 |
| Harris Health | $8,888 | 1.5× | 1 |
| MultiPlan/PHCS (rental network) | $5,252 | 0.9× | 2 |
| NX Health | $19,257 | 3.2× | 1 |
| Renaissance | $4,266 | 0.7× | 1 |
| UnitedHealthcare | $5,439 | 0.9× | 3 |
| Memorial Hermann-Texas Medical Center median $11,299 · local Medicare $5,947 · file 2026-04-01 | |||
| 90 Degrees | $11,299 | 1.9× | 1 |
| Memorial Hermann Memorial City Medical Center median $11,299 · local Medicare $5,947 · file 2026-04-01 | |||
| 90 Degrees | $11,299 | 1.9× | 1 |
Questions
How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in Houston TX?
18 Houston TX hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $4,931; hospital medians range from $4,284 to $11,299. Your cost depends on your plan's deductible and coinsurance.