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

Posted commercial rates at 25 Louisiana hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Ochsner Abrom Kaplan Memorial Hospital Kaplan$2,8050.5×12026-04-01
St James Parish Hospital Lutcher$3,0720.6×32026-04-01
Ochsner Lsu Health Shreveport Shreveport$3,1320.6×22026-04-01
Ochsner Lsu Health Shreveport-St Mary Medical Cent Shreveport$3,1670.6×42026-04-01
Ochsner St Martin Hospital Breaux Bridge$3,4120.6×12026-04-01
Christus Coushatta Health Care Center Coushatta$4,0200.8×32026-01-12
Ochsner St Mary Morgan City$4,0430.8×42026-04-01
Ochsner University Hospital And Clinics Lafayette$4,0800.8×42026-04-01
Ochsner Acadia General Hospital Crowley$4,2200.8×32026-04-01
St Charles Parish Hospital Luling$4,6840.8×22026-04-01
Slidell Memorial Hospital Slidell$4,7500.9×42026-04-01
Hardtner Medical Center Olla$4,8510.9×12026-04-01
Ochsner Medical Center-Kenner Kenner$4,9960.9×42026-09-16
Christus Ochsner Lake Area Hospital Lake Charles$5,3771.0×132026-01-13
Ochsner Medical Center - Baton Rouge Baton Rouge$5,4221.0×52026-04-01
Christus Shreveport-Bossier Health System Shreveport$5,5921.0×122026-01-12
Christus Ochsner St Patrick Hospital Lake Charles$5,6301.1×132026-01-13
Ochsner Lsu Health Monroe Monroe$6,0481.1×32026-04-01
Ochsner St Anne General Hospital Raceland$6,2061.2×42026-04-01
Cypress Pointe Surgical Hospital Hammond$6,6081.2×62026-07-17
Bayou Bend Health System Franklin$6,9021.3×12026-09-15
Acadian Medical Center Eunice$9,1161.7×22026-06-09
Ochsner American Legion Hospital Jennings$9,1411.7×52026-04-01
Rapides Regional Medical Center Alexandria$10,4671.9×62026-09-01
Omega Hospital, Llc Metairie$11,4342.1×22026-05-26

Questions

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

25 Louisiana 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 25 hospitals is $4,996, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.