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

Posted commercial rates at 6 Washington hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$16,1072.3×52026-04-01
St Clare Hospital Lakewood$18,0962.6×62026-02-28
St Anthony Hospital Gig Harbor$18,4162.7×62026-02-28
Swedish Medical Center Seattle$20,9243.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$24,7233.6×52026-08-27
Multicare Good Samaritan Hospital Puyallup$26,1603.8×42026-08-27

Questions

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

6 Washington 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 6 hospitals is $19,670, 2.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.