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Tonsils and adenoids removal (child under 12) in Pittsburgh PA

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 · insurerRate× MedicarePlans
Upmc Washington median $10,082 · local Medicare $5,766 · file 2026-03-06
Aetna$8,8831.5×2
City of Washington$11,2802.0×1
Highmark BCBS$11,7072.0×6
UPMC Health Plan$5,7531.0×1
Jefferson Hospital median $10,724 · local Medicare $5,766 · file 2026-04-14
Aetna$13,8632.4×1
Cigna$13,9982.4×2
Highmark BCBS$7,5851.3×13
Humana$6,0321.0×1
Martin's Point$5,6911.0×1
UnitedHealthcare$18,6423.2×1
Allegheny Valley Hospital median $12,013 · local Medicare $5,766 · file 2026-04-14
Aetna$14,3642.5×1
Cigna$16,2052.8×2
Highmark BCBS$9,6621.7×14
Humana$6,0321.0×1
Martin's Point$5,6911.0×1
UnitedHealthcare$17,5143.0×2
Forbes Hospital median $12,377 · local Medicare $5,766 · file 2026-04-14
Aetna$16,2192.8×1
Cigna$16,6172.9×2
Highmark BCBS$8,5351.5×14
Humana$6,0321.0×1
Martin's Point$5,6911.0×1
UnitedHealthcare$17,5143.0×2
Ahn Wexford Hospital median $12,954 · local Medicare $5,766 · file 2026-04-14
Aetna$17,3013.0×1
Cigna$18,8833.3×2
Highmark BCBS$8,6081.5×14
Humana$6,0321.0×1
Martin's Point$5,6911.0×1
UnitedHealthcare$18,4433.2×2
Allegheny General Hospital median $14,890 · local Medicare $5,766 · file 2026-04-14
Aetna$19,0193.3×1
Cigna$18,8833.3×2
Highmark BCBS$10,8961.9×14
Humana$6,0321.0×1
Martin's Point$5,6911.0×1
UnitedHealthcare$19,3393.4×2

Questions

How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in Pittsburgh PA?

6 Pittsburgh PA hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $12,195; hospital medians range from $10,082 to $14,890. Your cost depends on your plan's deductible and coinsurance.