Price AtlasInteractive atlas · All states · techysurgeon.comTonsils and adenoids removal (child under 12) in Virginia: what insurers pay
Posted commercial rates at 5 Virginia hospitals, each next to its own Medicare base rate.
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CPT 42820
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Inova Alexandria Hospital Alexandria | $6,158 | 1.0× | 5 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) Richmond | $7,016 | 1.2× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital Richmond | $7,138 | 1.2× | 4 | 2026-09-01 |
| Reston Hospital Center Reston | $7,242 | 1.2× | 4 | 2026-09-01 |
| Stonesprings Hospital Center Dulles | $7,242 | 1.2× | 4 | 2026-09-01 |
Questions
How much do insurers pay for tonsils and adenoids removal (child under 12) in Virginia?
5 Virginia 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 5 hospitals is $7,138, 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.