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

Posted commercial rates at 6 Illinois hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston Hospital Evanston$5,9080.9×22026-04-01
Endeavor Health Northwest Community Hospital Arlington Heights$5,9160.9×22026-04-01
Loyola University Medical Center Maywood$6,6251.0×12026-03-31
Endeavor Health Edward Hospital Naperville$6,9141.1×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$7,6111.2×22026-04-01
University of Chicago Medical Center Chicago$9,1481.4×22026-04-01

Questions

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

6 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 6 hospitals is $6,770, 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.