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

Posted commercial rates at 19 South Carolina hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Musc Medical Center Charleston$3,0050.6×12026-04-01
Musc Health Marion Medical Center Mullins$3,2980.6×12026-04-01
Conway Medical Center Conway$5,7551.1×32026-05-20
Musc Health Florence Medical Center Florence$6,5641.2×22026-04-01
Musc Health Chester$9,2041.6×32026-04-01
Musc Health Columbia Medical Center Downtown Columbia$9,8391.7×32026-04-01
Aiken Regional Medical Center Aiken$10,4101.9×22026-09-01
Trident Medical Center Charleston$10,7041.9×32026-09-01
Musc Health Lancaster Medical Center Lancaster$10,9921.9×22026-04-01
Grand Strand Regional Medical Center Myrtle Beach$12,0612.2×32026-09-01
Beaufort County Memorial Hospital Beaufort$12,4542.3×22026-01-01
Mcleod Loris Hospital Loris$12,7602.3×22026-07-20
Mcleod Health Clarendon Manning$12,7602.3×22026-07-20
Carolina Pines Regional Medical Center Hartsville$14,0202.5×22026-04-01
Spartanburg Medical Center Spartanburg$14,4182.6×42026-04-01
Cherokee Medical Center Gaffney$14,4182.6×42026-04-01
Pelham Medical Center Greer$14,4182.6×42026-04-01
Union Medical Center Union$14,4182.6×42026-04-01
Mcleod Medical Center - Dillon Dillon$14,6032.6×12026-07-20

Questions

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

19 South Carolina 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 19 hospitals is $12,061, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.