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

Posted commercial rates at 7 Nevada hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Valley Hospital Medical Center Las Vegas$4,6790.8×12026-09-01
Spring Valley Hospital Medical Center Las Vegas$4,6790.8×12026-09-01
Centennial Hills Hospital Medical Center Las Vegas$4,6790.8×12026-09-01
Henderson Hospital Henderson$4,6790.8×12026-09-01
University Medical Center of Southern Nevada Las Vegas$7,6221.2×332026-07-01
Saint Mary'S Regional Medical Center Reno$11,5901.9×122026-03-17
Carson Tahoe Regional Medical Center Carson City$13,8272.2×42026-03-25

Questions

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

7 Nevada 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 7 hospitals is $4,679, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.