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

Posted commercial rates at 17 Kentucky hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Chi Saint Joseph Berea Nf Berea$3,3630.6×12026-02-28
Spring View Hospital Lebanon$4,1830.8×12026-07-10
Saint Joseph Hospital Lexington$4,2990.7×22026-02-28
Tristar Greenview Regional Hospital Bowling Green$4,3960.8×32026-09-01
Ohio County Hospital Hartford$4,6820.8×32026-01-12
King'S Daughters' Medical Center Ashland$5,4711.0×22026-09-25
Frankfort Regional Medical Center Frankfort$5,7101.0×32026-09-01
Chi Saint Joseph London London$6,9681.3×22026-02-28
Chi Saint Joseph Mount Sterling Mount Sterling$7,1061.3×22026-02-28
Uofl Health - Shelbyville Hospital Shelbyville$7,2091.3×52026-01-01
Uofl Health - Jewish Hospital Louisville$7,2091.3×52026-01-01
Deaconess Henderson Hospital Henderson$7,7151.4×92026-02-09
Chi Saint Joseph East Lexington$7,7401.3×22026-02-28
Jennie Stuart Medical Center Hopkinsville$8,1931.4×22026-02-12
Meadowview Regional Medical Center Maysville$8,7881.6×12026-07-10
Baptist Health Deaconess Madisonville Madisonville$9,8051.8×22026-02-03
Jackson Purchase Medical Center Mayfield$9,8861.8×12026-07-10

Questions

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

17 Kentucky 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 17 hospitals is $7,106, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.