Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in Texas: what insurers pay
Posted commercial rates at 8 Texas hospitals, each next to its own Medicare base rate.
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CPT 42820
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Ascension Seton Medical Center Austin Austin | $4,657 | 0.8× | 1 | 2026-01-01 |
| Houston Methodist Hospital Houston | $4,958 | 0.8× | 5 | 2026-04-01 |
| Methodist Hospital San Antonio | $5,500 | 0.9× | 5 | 2026-09-01 |
| St David's Medical Center Austin | $5,926 | 1.0× | 5 | 2026-09-01 |
| Baylor University Medical Center Dallas | $6,093 | 1.0× | 3 | 2026-06-29 |
| Medical City Plano Plano | $8,375 | 1.4× | 5 | 2026-09-01 |
| Medical City Mckinney McKinney | $8,580 | 1.4× | 5 | 2026-09-01 |
| Texas Health Presbyterian Hospital Dallas Dallas | $15,810 | 2.7× | 2 | 2026-04-21 |
Questions
How much do insurers pay for tonsils and adenoids removal (child under 12) in Texas?
8 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 8 hospitals is $6,010, 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.