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

Posted commercial rates at 15 Idaho hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health Cassia Regional Hospital Burley$4,5230.8×82026-08-05
St Joseph Regional Medical Center Lewiston$5,3400.9×12026-04-01
Treasure Valley Hospital Boise$5,5500.9×32026-09-02
Kootenai Health Coeur D'Alene$5,5800.9×32026-03-27
St Luke'S Nampa Medical Center Nampa$5,7421.0×72026-03-25
St Luke'S Jerome Jerome$5,7421.0×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$5,7421.0×82026-03-25
North Canyon Medical Center Gooding$5,9161.0×12026-04-13
Northwest Specialty Hospital Post Falls$7,4741.3×42026-03-05
Mountain View Hospital Idaho Falls$9,0141.5×22026-03-16
Saint Alphonsus Medical Center - Nampa Nampa$11,4871.9×72026-03-31
Saint Alphonsus Regional Medical Center Boise$11,7972.0×22026-03-31
West Valley Medical Center Caldwell$12,3832.1×32026-09-01
Idaho Falls Community Hospital, Llc Idaho Falls$13,1592.3×32026-03-16
St Luke'S Regional Medical Center Boise$17,7433.0×32026-03-25

Questions

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

15 Idaho 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 15 hospitals is $5,916, 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.