Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in New Jersey: what insurers pay
Posted commercial rates at 25 New Jersey hospitals, each next to its own Medicare base rate.
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CPT 42820
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| St Mary'S General Hospital Passaic | $5,950 | 0.8× | 7 | 2026-09-01 |
| Newton Medical Center Newton | $6,464 | 1.0× | 11 | 2026-04-01 |
| Centrastate Medical Center Freehold | $6,598 | 1.0× | 16 | 2026-01-01 |
| Raritan Bay Medical Center Perth Amboy | $6,602 | 1.0× | 7 | 2025-12-31 |
| Morristown Medical Center Morristown | $6,864 | 1.0× | 1 | 2026-04-01 |
| Chilton Medical Center Pompton Plains | $6,864 | 1.0× | 11 | 2026-04-01 |
| Overlook Medical Center Summit | $6,864 | 1.0× | 13 | 2026-04-01 |
| Hackettstown Medical Center Hackettstown | $6,864 | 1.0× | 10 | 2026-04-01 |
| Ocean University Medical Center Brick | $7,324 | 1.1× | 6 | 2025-12-31 |
| Bayshore Medical Center Holmdel | $7,346 | 1.1× | 6 | 2025-12-31 |
| Riverview Medical Center Red Bank | $7,408 | 1.1× | 6 | 2025-12-31 |
| Jefferson Stratford Hospital Stratford | $7,409 | 1.1× | 3 | 2026-09-15 |
| Palisades Medical Center North Bergen | $7,770 | 1.1× | 5 | 2025-12-31 |
| Hackensack University Medical Center Hackensack | $7,773 | 1.1× | 5 | 2025-12-31 |
| St Luke'S Warren Hospital Phillipsburg | $8,195 | 1.2× | 3 | 2026-02-27 |
| Southern Ocean Medical Center Manahawkin | $8,251 | 1.2× | 5 | 2025-12-31 |
| Shore Medical Center Somers Point | $8,298 | 1.3× | 4 | 2026-08-30 |
| Jersey Shore University Medical Center Neptune | $8,522 | 1.3× | 3 | 2025-12-31 |
| Jfk University Medical Center Edison | $9,050 | 1.4× | 5 | 2025-12-31 |
| Englewood Hospital Englewood | $9,303 | 1.3× | 4 | 2026-02-02 |
| Valley Hospital Paramus | $10,430 | 1.5× | 4 | 2026-05-06 |
| Inspira Medical Center Vineland Vineland | $11,208 | 1.7× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill Mullica Hill | $11,208 | 1.7× | 1 | 2026-03-24 |
| St Joseph'S University Medical Center Inc Paterson | $12,097 | 1.7× | 3 | 2026-04-24 |
| University Hospital Newark | $12,539 | 1.9× | 2 | 2026-08-13 |
Questions
How much do insurers pay for tonsils and adenoids removal (child under 12) in New Jersey?
25 New Jersey 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 25 hospitals is $7,770, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.