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

Posted commercial rates at 14 Nebraska hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Chadron Hospital Chadron$3,7250.6×1
Boone County Health Center Albion$4,6100.8×3
Henderson Community Hospital Henderson$4,6790.8×12026-09-01
Kearney County Health Services Minden$5,6980.9×5
Chi Health Nebraska Heart Lincoln$7,7721.3×32026-02-28
Brown County Hospital Ainsworth$8,2151.3×1
Chi Health Creighton University Medical Center - B Omaha$8,6451.4×62026-02-28
Chi Health Immanuel Omaha$8,6451.4×62026-02-28
Chi Health Midlands Papillion$8,6451.4×62026-02-28
Chi Health Lakeside Omaha$8,6451.4×62026-02-28
Methodist Fremont Health Fremont$8,9671.5×22026-02-16
Chi Health St Elizabeth Lincoln$8,9821.5×82026-02-28
Chi Health Good Samaritan Kearney$10,3631.7×62026-02-28
Chi Health St Francis Grand Island$18,0202.9×62026-02-28

Questions

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

14 Nebraska 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 14 hospitals is $8,645, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.