Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in Pennsylvania: what insurers pay
Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.
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CPT 42820
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Riddle Memorial Hospital Media | $5,156 | 0.8× | 2 | 2026-04-01 |
| Bryn Mawr Hospital Bryn Mawr | $5,480 | 0.9× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital Philadelphia | $9,172 | 1.5× | 3 | 2026-09-15 |
| Lehigh Valley Hospital Allentown | $12,530 | 2.1× | 8 | 2026-07-01 |
Questions
How much do insurers pay for tonsils and adenoids removal (child under 12) in Pennsylvania?
4 Pennsylvania 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 4 hospitals is $7,326, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.