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Tonsils and adenoids removal (child under 12) in St. Louis MO

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 · insurer	Rate	× Medicare	Plans
Mercy Hospital Washington median $2,975 · local Medicare $5,929 · file 2026-06-10
Aither Health	$2,975	0.5×	4
Auxiant	$2,975	0.5×	4
Ebms	$2,975	0.5×	1
Edison Health Solutions	$2,975	0.5×	2
Elevance/Anthem/Empire	$4,953	0.8×	6
Healthlink	$2,975	0.5×	1
Hope Trust	$13,341	2.3×	1
Imagine 360	$2,975	0.5×	1
Mercy Benefit Admin	$2,975	0.5×	11
Reflect Health	$2,975	0.5×	1
Show-Me Health Administrators	$3,033	0.5×	1
Yuzu Health	$2,975	0.5×	1
Mercy Hospital St Louis median $3,234 · local Medicare $5,929 · file 2026-06-04
Aither Health	$3,234	0.5×	4
Auxiant	$3,234	0.5×	4
Ebms	$3,234	0.5×	1
Edison Health Solutions	$3,234	0.5×	2
Elevance/Anthem/Empire	$4,953	0.8×	6
Healthlink	$3,234	0.5×	1
Hope Trust	$13,341	2.3×	1
Imagine 360	$3,234	0.5×	1
Mercy Benefit Admin	$3,234	0.5×	13
Reflect Health	$3,234	0.5×	1
Show-Me Health Administrators	$3,218	0.5×	2
Yuzu Health	$3,234	0.5×	1
Mercy Hospital South median $3,234 · local Medicare $5,929 · file 2026-06-10
Aither Health	$3,234	0.5×	4
Auxiant	$3,234	0.5×	4
Ebms	$3,234	0.5×	1
Edison Health Solutions	$3,234	0.5×	2
Elevance/Anthem/Empire	$4,953	0.8×	6
Healthlink	$3,234	0.5×	1
Hope Trust	$13,341	2.3×	1
Imagine 360	$3,234	0.5×	1
Mercy Benefit Admin	$3,234	0.5×	13
Reflect Health	$3,234	0.5×	1
Show-Me Health Administrators	$3,218	0.5×	2
St Johns Mercy Rehab	$6,410	1.1×	1
Yuzu Health	$3,234	0.5×	1

Questions

How much does tonsils and adenoids removal (child under 12) cost with commercial insurance in St. Louis MO?

3 St. Louis MO hospitals post usable commercial rates for CPT 42820, hospital outpatient. The median across hospitals is $3,234; hospital medians range from $2,975 to $3,234. Your cost depends on your plan's deductible and coinsurance.