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

Posted commercial rates at 28 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Livingston Regional Hospital Livingston$2,9650.6×22026-04-01
Parkwest Medical Center Knoxville$3,1980.6×32026-08-05
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,4110.6×12026-01-01
Tristar Northcrest Medical Center Springfield$3,8880.7×42026-09-01
Tristar Southern Hills Medical Center Nashville$4,1420.7×42026-09-01
Tristar Ashland City Medical Center Ashland City$4,2560.8×42026-09-01
TriStar Skyline Medical Center Nashville$4,3250.8×42026-09-01
Morristown Hamblen Hospital Association Morristown$4,4180.8×42026-08-05
Roane Medical Center Harriman$4,4180.8×42026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$4,4180.8×42026-08-05
Fort Sanders Regional Medical Center Knoxville$4,4180.8×42026-08-05
Parkridge Medical Center Chattanooga$4,5140.8×42026-09-01
TriStar Summit Medical Center Hermitage$4,5680.8×42026-09-01
Cumberland Medical Center Crossville$4,6140.9×42026-08-05
Claiborne Medical Center Tazewell$4,6140.9×42026-08-05
Leconte Medical Center Sevierville$4,6190.9×42026-08-05
Tristar Horizon Medical Center Dickson$4,6820.8×42026-09-01
TriStar Hendersonville Medical Center Hendersonville$4,6820.8×42026-09-01
TriStar StoneCrest Medical Center Smyrna$4,6820.8×42026-09-01
Erlanger Health System Chattanooga$5,2441.0×22026-01-25
Methodist Hospitals of Memphis Memphis$5,6621.0×42026-03-19
Hardin Medical Center Savannah$7,0721.3×22026-05-01
Tennova Healthcare North Knoxville Medical Center Powell$7,1641.3×42026-04-01
Vanderbilt Wilson County Hospital Lebanon$8,7321.5×122025-10-01
Vanderbilt University Medical Center Nashville$9,2981.6×122025-10-01
Erlanger Bledsoe Hospital Pikeville$9,9381.9×12026-01-25
Vanderbilt Bedford Hospital Shelbyville$12,0682.3×112025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$12,0682.3×112025-10-01

Questions

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

28 Tennessee 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 28 hospitals is $4,614, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.