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

Posted commercial rates at 36 Illinois hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Northwestern Medicine Mchenry Hospital McHenry$3,5770.6×22026-04-01
Northwestern Lake Forest Hospital Lake Forest$3,5770.6×12026-04-01
Northwestern Medicine Delnor Community Hospital Geneva$3,5770.6×12026-04-01
Uchicago Medicine Adventhealth La Grange La Grange$4,1500.7×32026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$4,1500.7×32026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$4,1500.7×32026-04-01
West Suburban Medical Center Oak Park$4,9280.8×22025-03-17
Holy Cross Hospital Chicago$5,1340.8×22026-09-22
Advocate Sherman Hospital Elgin$5,6780.9×12025-11-04
Uchicago Medicine Adventhealth Hinsdale Hinsdale$5,7220.9×42026-04-01
Endeavor Health Evanston Hospital Evanston$5,9080.9×22026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$5,9160.9×22026-04-01
Mt Sinai Hospital Medical Center Chicago$6,3441.0×12026-09-22
Advocate Condell Medical Center Libertyville$6,5141.0×12025-11-04
Loyola University Medical Center Maywood$6,6251.0×12026-03-31
Endeavor Health Edward Hospital Naperville$6,9141.1×22026-04-01
Ingalls Memorial Hospital Harvey$6,9781.1×32026-04-01
Shriners Hospital For Children Chicago$7,2541.1×22026-03-19
Mercy Medical Center Aurora$7,2601.1×62026-09-01
Advocate Trinity Hospital Chicago$7,2951.1×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$7,2951.1×12025-11-04
Advocate Christ Medical Center Oak Lawn$7,2951.1×12025-11-04
Advocate Lutheran General Hospital Park Ridge$7,2951.1×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$7,2951.1×12025-11-04
Advocate Good Shepherd Hospital Barrington$7,2951.1×12025-11-04
Endeavor Health Elmhurst Hospital Elmhurst$7,6111.2×22026-04-01
Morrison Community Hospital Morrison$7,9261.3×32026-03-13
Swedish Hospital Chicago$8,4251.3×32026-04-01
University of Chicago Medical Center Chicago$9,1481.4×22026-04-01
Deaconess Illinois Medical Center Marion$10,1751.6×52026-02-03
Carle Health Proctor Hospital Peoria$14,0642.2×12026-04-15
Carle Health Pekin Hospital Pekin$14,0642.2×12026-04-15
Carle Health Methodist Hospital Peoria$14,0642.2×12026-04-15
Trinity Rock Island Rock Island$14,9272.4×32026-01-28
St Marys Hospital Decatur$16,1952.5×12025-01-01
Deaconess Illinois Crossroads Mount Vernon$17,5752.8×32026-02-03

Questions

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

36 Illinois 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 36 hospitals is $7,257, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.