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

Posted commercial rates at 32 Wisconsin hospitals, each next to its own Medicare base rate.

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CPT 42820

HospitalMedian across insurers× MedicareInsurersFile date
Orthopaedic Hospital Of Wisconsin Glendale$4,8120.8×32026-01-01
Marshfield Medical Center - Beaver Dam Beaver Dam$5,3880.9×12026-02-20
Unitypoint Health - Meriter Madison$6,0261.1×12026-01-28
Froedtert Holy Family Memorial Hospital Manitowoc$6,0411.1×32025-12-31
Watertown Regional Medical Center Watertown$6,3241.1×12026-04-01
Froedtert Menomonee Falls Hospital Menomonee Falls$6,6851.1×42025-12-31
Marshfield Medical Center - Eau Claire Eau Claire$7,2221.2×32026-02-20
Marshfield Medical Center - Minocqua Minocqua$7,2221.3×32026-02-20
Aurora Medical Ctr Manitowoc County Two Rivers$7,2501.3×142025-11-21
Aurora Medical Center Sheboygan County Sheboygan$7,2501.3×142025-11-21
Aurora Medical Ctr Washington County Hartford$7,2501.2×142025-11-21
Aurora Medical Center Burlington Burlington$7,2501.2×142025-11-21
Aurora Lakeland Medical Center Elkhorn$7,2501.3×142025-11-21
Aurora Medical Center Bay Area Marinette$7,2501.3×142025-11-21
Aurora West Allis Medical Center West Allis$7,2501.2×142025-11-21
Aurora Medical Ctr Kenosha Kenosha$7,2501.3×142025-11-21
Aurora Baycare Medical Ctr Green Bay$7,2501.3×142025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$7,2501.3×142025-11-21
Aurora Medical Center Summit Summit$7,2501.2×142025-11-21
Aurora Medical Center Grafton$7,2501.2×142025-11-21
Froedtert Community Hospital New Berlin$7,3141.2×42025-12-31
Froedtert West Bend Hospital West Bend$7,7261.3×42025-12-31
Bellin Memorial Hospital Green Bay$8,9541.6×32026-06-27
Gundersen St Josephs Hospital And Clinics Hillsboro$9,4141.6×22026-06-27
Marshfield Medical Center Marshfield$10,2011.8×12026-02-20
Gundersen Lutheran Medical Center La Crosse$11,6702.0×32026-06-27
Aspirus Divine Savior Hospital Portage$12,6482.2×42026-04-01
Aspirus Wausau Hospital Wausau$15,1302.6×22026-04-01
Aspirus Stevens Point Hospital Stevens Point$18,8583.3×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$18,8583.3×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$18,8583.3×22026-04-01
Howard Young Medical Ctr Woodruff$18,8583.3×22026-04-01

Questions

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

32 Wisconsin 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 32 hospitals is $7,250, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.