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

Posted commercial rates at 5 Montana hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$6,1811.0×222026-03-31
Intermountain Health St Vincent Regional Hospital Billings$11,8742.0×82026-03-22
Intermountain Health St James Hospital Butte$12,4232.0×32026-03-22
Great Falls Clinic Hospital Great Falls$13,3902.2×22026-02-18
Providence St Joseph Medical Center Polson$17,4232.9×12026-04-01

Questions

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

5 Montana 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 5 hospitals is $12,423, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.