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

Posted commercial rates at 16 Kansas hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Salina Surgical Hospital Salina$4,5000.8×22026-01-15
Wesley Medical Center Wichita$4,6000.8×32026-09-01
Adventhealth Ottawa Ottawa$4,9690.9×42026-04-01
Adventhealth Shawnee Mission Shawnee Mission$4,9690.9×42026-04-01
Adventhealth South Overland Park, Inc Overland Park$5,5621.0×52026-04-01
Menorah Medical Center Overland Park$6,1821.1×52026-09-01
Russell Regional Hospital Russell$6,3861.2×12026-06-01
Fredonia Regional Hospital Fredonia$6,3861.2×12026-08-04
Manhattan Surgical Hospital Llc Manhattan$6,8181.3×22025-11-12
Ascension Via Christi Hospital Manhattan, Inc Manhattan$6,9161.3×12026-01-01
Mercy Specialty Hospital Southeast Kansas Galena$7,0061.3×92026-06-09
Hospital District #1 Of Rice County Lyons$8,2341.5×22026-08-14
Wamego Health Center Wamego$8,3871.5×12026-01-01
Mercy Hospital Pittsburg, Inc Pittsburg$8,6761.6×32026-06-09
Sabetha Community Hospital Sabetha$9,6941.8×22026-08-04
Providence Medical Center Kansas City$14,8022.6×22026-04-01

Questions

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

16 Kansas 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 16 hospitals is $6,602, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.