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

Posted commercial rates at 124 Texas hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Covenant Medical Center Lubbock$3,2860.6×42026-05-15
Baylor Scott And White Medical Center Sunnyvale Sunnyvale$3,3440.6×22026-04-01
Tmc- Bonham Hospital Bonham$3,7620.6×12026-09-01
Ochiltree General Hospital Perryton$4,0210.7×12026-09-27
Houston Methodist Baytown Hospital Baytown$4,2840.7×62026-04-01
Houston Methodist Clear Lake Hospital Nassau Bay$4,2840.7×62026-04-01
Houston Methodist Sugar Land Hospital Sugar Land$4,2840.7×62026-04-01
Houston Methodist Willowbrook Hospital Houston$4,2840.7×62026-04-01
Houston Methodist Cypress Hospital Cypress$4,2840.7×62026-04-01
Chi St Joseph Health Regional Hospital Bryan$4,2990.7×22026-02-28
Hca Houston Healthcare Clear Lake Webster$4,3880.7×92026-09-01
Glen Rose Medical Center Glen Rose$4,4670.8×12026-09-27
Hca Houston Healthcare Kingwood Kingwood$4,5310.8×92026-09-01
Crane County Hospital District Crane$4,6540.8×12026-09-27
Ascension Seton Medical Center Austin Austin$4,6570.8×12026-01-01
Dell Seton Med Center At The University Of Tx Austin$4,6570.8×12026-01-01
Ascension Seton Southwest Austin$4,6570.8×12026-01-01
Ascension Seton Northwest Austin$4,6570.8×12026-01-01
Ascension Seton Highland Lakes Burnet$4,6570.8×12026-01-01
Ascension Seton Edgar B Davis Luling$4,6570.8×12026-01-01
Dell Children'S Medical Center Austin$4,6570.8×12026-01-01
Cedar Park Regional Medical Center Cedar Park$4,6570.8×12026-01-01
Ascension Seton Hays Kyle$4,6570.8×12026-01-01
Ascension Seton Smithville Smithville$4,6570.8×12026-01-01
Hca Houston Healthcare Southeast Pasadena$4,8070.8×82026-09-01
Methodist Hospital | Atascosa Jourdanton$4,8070.8×102026-09-01
Hca Houston Healthcare Conroe Conroe$4,8070.8×82026-09-01
Methodist Hospital San Antonio$4,8070.8×102026-09-01
Nacogdoches Memorial Hospital Nacogdoches$4,8070.8×102026-09-01
Hca Houston Healthcare Northwest Houston$4,8070.8×82026-09-01
Hca Houston Healthcare West Houston$4,8070.8×82026-09-01
Hca Houston Healthcare Medical Center Houston$4,8070.8×82026-09-01
Hca Houston Healthcare Tomball Tomball$4,8070.8×82026-09-01
Methodist Hospital Stone Oak San Antonio$4,8070.8×102026-09-01
Hca Houston Healthcare Pearland Pearland$4,8070.8×82026-09-01
St David's Medical Center Austin$4,8630.8×122026-09-01
St David's South Austin Medical Center Austin$4,8630.8×122026-09-01
Round Rock Medical Center Round Rock$4,8630.8×122026-09-01
North Austin Medical Center Austin$4,8630.8×122026-09-01
Texas Health Arlington Memorial Hospital Arlington$5,0230.8×32026-04-21
Texas Health Harris Methodist Fort Worth Fort Worth$5,0230.8×32026-04-21
Texas Health Harris Methodist Hospital Cleburne Cleburne$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Kaufman Kaufman$5,0230.8×32026-04-21
Texas Health Harris Methodist Hospital Stephenvill Stephenville$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Dallas Dallas$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Denton Denton$5,0230.8×32026-04-21
Texas Health Harris Methodist Hospital Southwest F Fort Worth$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Plano Plano$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Allen Allen$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Rockwall Rockwall$5,0230.8×32026-04-21
Texas Health Presbyterian Hospital Flower Mound Flower Mound$5,0230.8×32026-04-21
Texas Health Heart & Vascular Hospital Arlington Arlington$5,0230.8×32026-04-21
Texas Health Harris Methodist Hospital Alliance Fort Worth$5,0230.8×32026-04-21
Texas Health Hospital Frisco Frisco$5,0230.8×32026-04-21
Houston Methodist Hospital Houston$5,0540.8×72026-04-01
Houston Methodist West Hospital Houston$5,0720.8×72026-04-01
Houston Methodist The Woodlands Hospital The Woodlands$5,0720.8×72026-04-01
Hill Regional Hospital Hillsboro$5,1020.9×42026-04-10
Methodist Hospital Hill Country Fredericksburg$5,5910.9×62026-09-01
Medical City Plano Plano$5,6400.9×82026-09-01
Medical City Lewisville Lewisville$5,7231.0×82026-09-01
Medical City Las Colinas Irving$5,7271.0×82026-09-01
Christus Good Shepherd Medical Center Longview$5,7621.0×92026-01-12
Valley Regional Medical Center Brownsville$5,8301.0×82026-09-01
Rio Grande Regional Hospital McAllen$5,8301.0×82026-09-01
St Joseph Medical Center Houston$5,9471.0×92026-09-01
Christus Santa Rosa Hospital-San Marcos San Marcos$5,9501.0×122026-01-13
Christus Spohn Hospital Kleberg Kingsville$5,9871.0×112026-01-13
Baylor Scott & White Medical Center -Taylor Taylor$6,0221.0×42026-06-12
University Medical Center Lubbock$6,0311.0×32026-04-01
Christus Southeast Texas- St Elizabeth Beaumont$6,1141.0×172026-01-13
Christus Jasper Memorial Hospital Jasper$6,1471.0×172026-01-13
Medical City Weatherford Weatherford$6,2181.1×62026-09-01
Christus Spohn Hospital Beeville Beeville$6,2261.1×122026-01-13
Christus Spohn Hospital Alice Alice$6,2261.1×122026-01-13
Christus Mother Frances Hospital Sulphur Springs Sulphur Springs$6,2761.1×92026-01-12
Medical City Arlington Arlington$6,5981.1×82026-09-01
Medical City North Hills North Richland Hills$6,6761.1×82026-09-01
Medical City Dallas Dallas$6,7081.1×82026-09-01
Medical City Alliance Fort Worth$6,7081.1×82026-09-01
St Luke'S Patients Medical Center Pasadena$6,7441.1×52026-02-28
Medical City Mckinney McKinney$6,7941.1×82026-09-01
Medical City Denton Denton$6,7941.1×82026-09-01
Texoma Medical Center Denison$6,9861.2×42026-09-01
University Health System San Antonio$7,2221.2×102025-10-14
Corpus Christi Medical Center,The Corpus Christi$7,2271.2×52026-09-01
Adventhealth Central Texas Killeen$7,3891.2×22026-04-01
Adventhealth Rollins Brook Lampasas$7,3891.2×22026-04-01
Detar Healthcare System Victoria$7,4341.3×62026-04-01
Baylor Scott & White Medical Center – Buda Buda$7,5141.3×62026-06-13
Baylor Scott & White Medical Center- Austin Austin$7,5141.3×62026-06-13
Doctors Hospital at Renaissance Edinburg$7,5621.3×42026-04-01
Harlingen Medical Center Harlingen$7,6931.3×102026-09-01
Chi St Luke's Health Brazosport Lake Jackson$7,8561.3×62026-02-28
Ascension Providence Waco$8,2461.4×12026-01-01
St. Luke's Health The Woodlands Hospital The Woodlands$8,3431.4×82026-02-28
St Luke'S Hospital At The Vintage Houston$8,3431.4×102026-02-28
St. Luke's Health Sugar Land Hospital Sugar Land$8,4241.4×92026-02-28
Baylor Scott & White Medical Center- College Stati College Station$8,4741.4×82026-06-12
Baylor Scott & White Medical Center - Marble Falls Marble Falls$8,4741.4×82026-06-13
Baylor Scott & White Medical Center ? Pflugerville Pflugerville$8,4741.4×62026-06-13
Baylor Scott & White Medical Center - Temple Temple$8,6511.4×92026-06-13
Baylor Scott & White Medical Center - Hillcrest Waco$8,6511.4×92026-06-13
Scott & White Hospital-Round Rock Round Rock$8,6511.4×92026-06-13
Baylor University Medical Center Dallas$8,6821.5×72026-06-29
Baylor Scott & White Medical Center- Waxahachie Waxahachie$8,6821.5×72026-06-29
Baylor Scott & White Medical Center - Lake Pointe Rowlett$8,6821.5×72026-06-29
Baylor Scott & White Medical Center - McKinney Mc Kinney$8,6821.5×72026-06-29
Baylor St. Luke's Medical Center Houston$8,6961.5×112026-02-28
Longview Regional Medical Center Longview$8,7721.5×42026-04-01
Woodland Heights Medical Center Lufkin$8,9201.5×42026-04-01
Hamilton Hospital Olney$9,6351.6×12026-04-01
Dallas Medical Center Dallas$9,8041.6×52026-05-22
Laredo Medical Center Laredo$11,0111.9×12026-09-01
Memorial Hermann-Texas Medical Center Houston$11,2991.9×12026-04-01
Memorial Hermann Hospital System Houston$11,2991.9×12026-04-01
Memorial Hermann Memorial City Medical Center Houston$11,2991.9×12026-04-01
Memorial Hermann Katy Hospital Katy$11,2991.9×12026-04-01
University Medical Center Of El Paso El Paso$13,3952.3×12026-03-16
UT Southwestern William P. Clements Jr. University Hospital Dallas$15,0342.5×22026-03-10
Palestine Regional Medical Center Palestine$15,2232.6×22026-04-01
Texas Health Harris Methodist Hospital Azle Azle$15,3062.6×22026-04-21
Medina Regional Hospital Hondo$19,3683.3×22026-07-29
Parkview Hospital Wheeler$28,6414.8×12026-09-01

Questions

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

124 Texas 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 124 hospitals is $5,745, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.