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

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

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Altru Hospital Grand Forks$5,1760.9×32026-03-01
Chi Mercy Health Valley City$8,5511.4×52026-02-28
Chi St Alexius Health Bismarck$10,2341.7×12026-02-28
Sanford Fargo$10,3411.7×12026-03-04
Essentia Health Fargo Fargo$13,3802.2×12026-01-01

Questions

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

5 North Dakota 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 $10,234, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.