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

Posted commercial rates at 11 North Carolina hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Novant Health New Hanover Regional Medical Center Wilmington$5,7241.0×32026-03-30
Atrium Health Lincoln Lincolnton$6,9371.2×12025-12-01
Atrium Health Cabarrus Concord$7,0331.2×12025-12-01
Atrium Health Pineville Charlotte$7,0331.2×12025-12-05
Atrium Health Union Monroe$7,0331.2×12025-12-04
Atrium Health University City Charlotte$7,0331.2×12025-12-05
Frye Regional Medical Center Hickory$8,2371.5×22026-07-08
Harris Regional Hospital Sylva$9,0441.6×12026-07-10
Catawba Valley Medical Center Hickory$9,3981.7×2
Caromont Regional Medical Center Gastonia$12,8522.2×42026-05-11
Cape Fear Valley Medical Center Fayetteville$14,6622.5×12026-03-21

Questions

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

11 North Carolina 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 11 hospitals is $7,033, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.