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

Posted commercial rates at 43 Michigan hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Holland Hospital Holland$3,0260.5×32026-09-21
Corewell Health Dearborn Hospital Dearborn$3,0670.5×12026-05-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$3,0670.5×22026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$3,0670.5×22026-05-01
Corewell Health Wayne Hospital Wayne$3,0670.5×22026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$3,0670.5×22026-05-01
Corewell Health Trenton Hospital Trenton$3,0670.5×22026-05-01
Corewell Health Taylor Hospital Taylor$3,0670.5×22026-05-01
Mclaren Bay Region Bay City$3,0980.5×12025-12-31
Trinity Health Ann Arbor Hospital Ann Arbor$3,1200.5×162026-03-31
Trinity Health Muskegon Hospital Muskegon$3,2590.6×222026-03-31
Oaklawn Hospital Marshall$3,3090.6×22026-03-27
Trinity Health Grand Rapids Hospital Grand Rapids$3,3110.6×222026-03-31
Trinity Health Livonia Hospital Livonia$3,3290.6×212026-03-31
Mclaren Northern Michigan Petoskey$4,4880.8×22025-12-31
Mclaren Macomb Mount Clemens$4,5360.8×22025-12-31
Trinity Health Livingston Hospital Howell$4,5970.8×222026-03-31
Mclaren Flint Flint$4,6140.8×22025-12-31
Mclaren Greater Lansing Lansing$4,7020.8×22025-12-31
Mclaren Lapeer Region Lapeer$4,7220.8×22025-12-31
Henry Ford Health Rochester Hospital Rochester$4,7220.8×12026-01-01
Munson Healthcare Otsego Memorial Hospital Gaylord$5,3100.9×22026-04-17
Mclaren Oakland Pontiac$5,3140.9×22025-12-31
Munson Healthcare Manistee Hospital Manistee$5,6040.9×42026-04-17
Corewell Health Zeeland Hospital Zeeland$5,8541.0×22026-05-01
Corewell Health Big Rapids Hospital Big Rapids$5,8541.0×22026-05-01
Corewell Health Ludington Hospital Ludington$5,8541.0×22026-05-01
Corewell Health Reed City Hospital Reed City$5,8541.0×22026-05-01
Corewell Health Gerber Hospital Fremont$5,8541.0×22026-05-01
Corewell Health Pennock Hospital Hastings$5,8541.0×22026-05-01
Henry Ford Health Macomb Hospital Clinton Township$5,8591.0×92026-06-28
Munson Healthcare Grayling Hospital Grayling$5,8991.0×82026-04-17
Munson Healthcare Cadillac Hospital Cadillac$5,8991.0×72026-04-17
Munson Medical Center Traverse City$5,8991.0×82026-04-17
Wyandotte Hospital And Medical Center Wyandotte$5,8991.0×92026-06-28
Huron Valley-Sinai Hospital Commerce Township$6,1581.0×22026-05-20
Henry Ford Health West Bloomfield Hospital West Bloomfield$6,5011.1×92026-06-28
Harper University Hospital Detroit$6,8421.2×22026-09-02
Henry Ford Health Jackson Hospital Jackson$7,1111.2×72026-06-28
Henry Ford Genesys Hospital Grand Blanc$7,2851.2×12026-01-01
Henry Ford Health Hospital Detroit$7,4891.3×82026-06-28
Trinity Health Oakland Hospital Pontiac$9,1431.6×42026-03-31
Henry Ford Health Providence Southfield Hospital Southfield$15,6952.7×12026-01-01

Questions

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

43 Michigan 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 43 hospitals is $5,310, 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.