Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in New York City
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 42820
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Jamaica Hospital Medical Center median $5,464 · local Medicare $7,390 · file 2026-03-25 | |||
| Aetna | $3,996 | 0.5× | 4 |
| Centerlight Healthcare | $7,353 | 1.0× | 1 |
| Centivo | $4,679 | 0.6× | 1 |
| Cigna | $4,250 | 0.6× | 1 |
| Elderplan | $7,500 | 1.0× | 1 |
| Elevance/Anthem/Empire | $4,116 | 0.6× | 2 |
| EmblemHealth | $8,646 | 1.2× | 2 |
| Healthfirst | $6,250 | 0.8× | 1 |
| MagnaCare (rental network) | $4,555 | 0.6× | 1 |
| Maimonides Medical Center median $6,360 · local Medicare $7,390 · file 2026-04-01 | |||
| Aetna | $5,457 | 0.7× | 3 |
| Centivo | $6,360 | 0.9× | 1 |
| Elevance/Anthem/Empire | $9,048 | 1.2× | 2 |
| EmblemHealth | $22,464 | 3.0× | 1 |
| Magnacare (rental network) | $6,360 | 0.9× | 1 |
| UnitedHealthcare | $5,036 | 0.7× | 7 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $7,000 · local Medicare $7,390 · file 2026-09-05 | |||
| Vaccn | $7,000 | 0.9× | 1 |
| Jacobi Medical Center median $7,000 · local Medicare $7,390 · file 2026-09-05 | |||
| Vaccn | $7,000 | 0.9× | 1 |
| Elmhurst Hospital Center median $7,000 · local Medicare $7,390 · file 2026-09-05 | |||
| Vaccn | $7,000 | 0.9× | 1 |
| South Brooklyn Health median $7,000 · local Medicare $7,390 · file 2026-09-05 | |||
| Vaccn | $7,000 | 0.9× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,157 · local Medicare $7,390 · file 2026-01-01 | |||
| 1199SEIU | $7,084 | 1.0× | 3 |
| Aetna | $10,024 | 1.4× | 24 |
| BCBS (other) | $14,557 | 2.0× | 16 |
| Centerlight | $7,140 | 1.0× | 2 |
| Cigna | $6,487 | 0.9× | 22 |
| Elevance/Anthem/Empire | $14,557 | 2.0× | 32 |
| EmblemHealth | $8,427 | 1.1× | 69 |
| Magnacare (rental network) | $25,798 | 3.5× | 10 |
| UnitedHealthcare | $9,887 | 1.3× | 24 |
| Montefiore Medical Center median $12,211 · local Medicare $7,390 · file 2026-04-01 | |||
| 1199SEIU | $4,956 | 0.7× | 1 |
| Aetna | $12,235 | 1.7× | 2 |
| Christian Brothers | $12,920 | 1.7× | 1 |
| Cigna | $7,342 | 1.0× | 2 |
| Elevance/Anthem/Empire | $10,680 | 1.4× | 8 |
| EmblemHealth | $12,211 | 1.7× | 6 |
| Healthfirst | $6,281 | 0.8× | 1 |
| Nat Assoc Letter Carriers | $12,920 | 1.7× | 1 |
| Nippon Life Insurance | $12,920 | 1.7× | 1 |
| Northwell | $22,834 | 3.1× | 1 |
| Oscar | $6,602 | 0.9× | 1 |
| Point Comfort | $7,390 | 1.0× | 1 |
| UnitedHealthcare | $13,220 | 1.8× | 3 |
Questions
How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in New York City?
8 New York City hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $7,000; hospital medians range from $5,464 to $12,211. Your cost depends on your plan's deductible and coinsurance.