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

Posted commercial rates at 8 New Mexico hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Christus St Vincent Regional Medical Center Santa Fe$6,2431.0×92026-01-13
Eastern New Mexico Medical Center Roswell$7,3261.3×42026-04-01
Presbyterian Espanola Hospital Espanola$8,8701.5×12026-04-01
Memorial Medical Center Las Cruces$11,6112.0×12026-07-10
Unm Hospital Albuquerque$11,6632.0×12026-03-25
Presbyterian Santa Fe Medical Center Santa Fe$12,6012.1×12026-04-01
Los Alamos Medical Center Los Alamos$13,5632.3×12026-07-10
Presbyterian Hospital Albuquerque$17,0932.9×22026-04-01

Questions

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

8 New Mexico 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 8 hospitals is $11,637, 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.