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

Posted commercial rates at 3 South Dakota hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Huron Regional Medical Center Huron$4,1200.7×12026-03-31
Sanford Usd Medical Center Sioux Falls$7,2791.2×12026-03-04
Same Day Surgery Center Llc Rapid City$9,0521.5×22026-09-10

Questions

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

3 South Dakota 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 3 hospitals is $7,279, 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.