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

Posted commercial rates at 15 Oregon hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Legacy Silverton Medical Center Silverton$11,4291.7×32026-04-01
Legacy Emanuel Medical Center Portland$13,1602.0×82026-04-01
Legacy Good Samaritan Medical Center Portland$13,1602.0×82026-04-01
Legacy Mount Hood Medical Center Gresham$13,1602.0×82026-04-01
Legacy Meridian Park Medical Center Tualatin$13,1602.0×82026-04-01
Kaiser Sunnyside Medical Center Clackamas$15,1492.3×12026-04-01
Kaiser Foundation Hospital Westside Hillsboro$15,1492.3×12026-04-01
Good Samaritan Regional Medical Center Corvallis$16,6552.5×22026-01-31
Providence St Vincent Medical Center Portland$17,1932.6×52026-04-01
Providence Willamette Falls Medical Center Oregon City$17,1932.6×52026-04-01
Providence Portland Medical Center Portland$17,1932.6×52026-04-01
Providence Milwaukie Hospital Milwaukie$17,1932.6×52026-04-01
Samaritan Albany General Hospital Albany$21,1753.2×12026-01-31
Salem Hospital Salem$22,7543.4×22026-04-01
Providence Medford Medical Center Medford$26,9223.9×22026-04-01

Questions

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

15 Oregon 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 15 hospitals is $16,655, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.