Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in New York: what insurers pay
Posted commercial rates at 38 New York hospitals, each next to its own Medicare base rate.
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CPT 42820
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Glens Falls Hospital Glens Falls | $5,299 | 0.7× | 6 | 2025-12-31 |
| Garnet Health Medical Center Catskills Harris | $5,414 | 0.7× | 5 | 2026-04-01 |
| Jamaica Hospital Medical Center Jamaica | $5,464 | 0.7× | 9 | 2026-03-25 |
| Flushing Hospital Medical Center Flushing | $5,464 | 0.7× | 9 | 2026-03-25 |
| Stony Brook University Hospital Stony Brook | $5,783 | 0.8× | 5 | 2026-06-10 |
| Saratoga Hospital Saratoga Springs | $6,022 | 0.8× | 4 | 2025-12-31 |
| Maimonides Medical Center Brooklyn | $6,360 | 0.9× | 6 | 2026-04-01 |
| Nassau University Medical Center East Meadow | $7,000 | 0.9× | 1 | 2025-10-28 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx | $7,000 | 0.9× | 1 | 2026-09-05 |
| Jacobi Medical Center Bronx | $7,000 | 0.9× | 1 | 2026-09-05 |
| Elmhurst Hospital Center Elmhurst | $7,000 | 0.9× | 1 | 2026-09-05 |
| South Brooklyn Health Brooklyn | $7,000 | 0.9× | 1 | 2026-09-05 |
| Metropolitan Hospital Center New York | $7,000 | 0.9× | 1 | 2026-09-05 |
| Kings County Hospital Center Brooklyn | $7,000 | 0.9× | 1 | 2026-09-05 |
| Bellevue Hospital Center New York | $7,000 | 0.9× | 1 | 2026-09-05 |
| Queens Hospital Center Jamaica | $7,000 | 0.9× | 1 | 2026-09-05 |
| Harlem Hospital Center New York | $7,000 | 0.9× | 1 | 2026-09-05 |
| Albany Medical Center Hospital Albany | $7,350 | 1.0× | 3 | 2025-12-31 |
| Oneida Health Oneida | $7,408 | 1.0× | 6 | |
| Columbia Memorial Hospital Hudson | $7,537 | 1.0× | 2 | 2025-12-31 |
| Bronxcare Hospital Center Bronx | $7,764 | 1.1× | 2 | 2026-05-05 |
| Erie County Medical Center Buffalo | $7,814 | 1.1× | 6 | 2026-08-25 |
| Wynn Hospital Utica | $8,055 | 1.1× | 15 | 2026-08-07 |
| Montefiore Mount Vernon Hospital Mount Vernon | $8,196 | 1.1× | 10 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $9,157 | 1.2× | 9 | 2026-01-01 |
| Garnet Health Medical Center Middletown | $9,840 | 1.3× | 6 | 2026-04-01 |
| Samaritan Medical Center Watertown | $9,932 | 1.3× | 4 | 2026-02-02 |
| Highland Hospital Rochester | $10,611 | 1.4× | 4 | 2026-07-01 |
| Roswell Park Cancer Institute Buffalo | $11,402 | 1.5× | 3 | 2026-04-01 |
| St Joseph'S Medical Center Yonkers | $11,909 | 1.6× | 1 | 2026-07-13 |
| Montefiore Medical Center Bronx | $12,211 | 1.6× | 13 | 2026-04-01 |
| Strong Memorial Hospital Rochester | $12,679 | 1.7× | 4 | 2026-07-01 |
| Jones Memorial Hospital Wellsville | $12,699 | 1.7× | 7 | 2026-01-01 |
| Geneva General Hospital Geneva | $13,038 | 1.8× | 3 | 2026-08-27 |
| Crouse Hospital Syracuse | $13,271 | 1.8× | 3 | 2026-05-19 |
| Nicholas H Noyes Memorial Hospital Dansville | $15,142 | 2.0× | 6 | 2026-01-01 |
| St James Hospital Hornell | $17,357 | 2.4× | 5 | 2026-01-01 |
| Medina Memorial Hospital Medina | $19,368 | 2.6× | 2 | 2026-07-29 |
Questions
How much do insurers pay for tonsils and adenoids removal (child under 12) in New York?
38 New York 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 38 hospitals is $7,473, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.