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

Posted commercial rates at 11 Oklahoma hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Onecore Health Oklahoma City$5,2680.9×12026-02-27
Mercy Hospital Oklahoma City, Inc Oklahoma City$6,0481.1×22026-06-12
Mercy Hospital Ada Ada$6,0481.1×22026-06-11
Oklahoma Surgical Hospital, Llc Tulsa$6,5701.1×42025-10-31
Saint Francis Hospital, Inc Tulsa$6,8861.2×12026-04-01
Saint Francis Hospital South, Llc Tulsa$10,0571.8×32026-04-01
Valley Community Hospital Pauls Valley$10,4301.8×42026-05-06
Mangum Regional Medical Center Mangum$11,1231.9×52026-09-23
Saint Francis Hospital Muskogee Muskogee$12,1682.1×22026-04-01
Saint Francis Hospital Vinita, Inc Vinita$12,1682.1×22026-04-01
Stillwater Medical Center Stillwater$14,4642.5×42025-12-31

Questions

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

11 Oklahoma 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 11 hospitals is $10,057, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.