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

Posted commercial rates at 20 Minnesota hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Madison Hospital Madison$3,4660.6×12026-09-23
Park Nicollet Methodist Hospital Saint Louis Park$6,9941.1×22026-03-31
M Health Fairview Southdale Hospital Edina$7,2501.2×42026-02-06
M Health Fairview Lakes Medical Center Wyoming$7,3421.2×42026-02-05
M Health Fairview Northland Medical Center Princeton$7,3421.2×42026-01-29
M Health Fairview St John'S Hospital Maplewood$7,3421.2×42026-02-05
M Health Fairview Ridges Hospital Burnsville$7,3421.2×42026-02-06
M Health Fairview Woodwinds Hospital Woodbury$7,3421.2×42026-02-05
Regions Hospital Saint Paul$7,4061.2×12026-03-31
M Health Fairview University of Minnesota Medical Center Minneapolis$10,0741.6×52026-02-06
Grand Itasca Clinic And Hospital Grand Rapids$10,1651.7×12026-01-28
Hennepin County Medical Center Minneapolis$12,7342.0×22025-12-17
Essentia Health St Mary'S Medical Center Duluth$13,5092.2×12026-01-01
Essentia Health Virginia Virginia$15,6442.6×22026-01-01
Alomere Health Alexandria$15,7102.6×42026-04-01
Sanford Worthington Medical Center Worthington$15,9462.6×12026-03-04
Essentia Health St Marys - Detroit Lakes Detroit Lakes$18,1283.0×22026-01-01
Essentia Health Moose Lake Moose Lake$18,8403.1×12026-01-01
Sanford Bemidji Medical Center Bemidji$20,7053.4×12026-03-04
Essentia Health St Joseph'S Medical Center Brainerd$21,6513.5×12026-01-01

Questions

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

20 Minnesota 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 20 hospitals is $10,120, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.