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Tonsillectomy (age 12+) in California: what insurers pay

Posted commercial rates at 85 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Foothill Regional Medical Center Tustin$3,9690.9×42026-03-18
Oroville Hospital Oroville$4,0761.0×52026-09-27
Encino Hospital Medical Center Encino$4,2431.0×42026-09-01
Orange County Global Medical Center Santa Ana$4,2431.0×292026-06-15
Riverside University Health System-Medical Center Moreno Valley$4,2651.0×12026-03-30
Community Hospital Of Huntington Park Huntington Park$4,4251.0×162026-02-04
Memorial Hospital Of Gardena Gardena$4,4251.0×162026-02-04
East Los Angeles Doctors Hospital Los Angeles$4,4251.0×172026-02-04
Coast Plaza Hospital Norwalk$4,4251.0×162026-02-04
Los Angeles Community Hospital Los Angeles$4,5471.1×32026-03-18
Hollywood Presbyterian Medical Center Los Angeles$4,6781.1×22026-03-12
Loma Linda University Children'S Hospital Loma Linda$4,6911.1×92026-09-02
San Dimas Community Hospital San Dimas$4,8801.1×82026-09-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$5,3111.3×52026-04-01
Providence Saint Joseph Medical Ctr Burbank$5,3181.3×52026-04-01
Riverside Community Hospital Riverside$5,4661.3×72026-09-01
Providence Holy Cross Medical Center Mission Hills$5,4751.3×62026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$5,7041.3×52026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$5,7181.3×52026-04-01
Community Regional Medical Center Fresno$5,7841.4×82026-06-18
Clovis Community Medical Center Clovis$5,7841.4×82026-06-15
Fresno Surgical Hospital Fresno$5,8161.4×32026-06-16
Desert Valley Hospital Victorville$5,9411.4×42026-09-01
Tri-City Medical Center Oceanside$6,0981.4×72026-05-29
Loma Linda University Medical Center-Murrieta Murrieta$6,2731.5×92026-09-02
Usc Verdugo Hills Hospital Glendale$6,2781.5×62026-04-01
Southern California Hospital At Hollywood Hollywood$6,6481.6×32026-03-18
Uci Health-Lakewood Lakewood$6,9301.6×62026-04-01
Good Samaritan Hospital San Jose$7,0981.5×82026-09-01
Saint Agnes Medical Center Fresno$7,1151.7×202026-03-31
Scripps Mercy Hospital San Diego$7,2491.7×52026-03-30
Scripps Memorial Hospital La Jolla La Jolla$7,2491.7×52026-03-30
Scripps Green Hospital La Jolla$7,2491.7×52026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$7,2491.7×52026-03-30
Stanford Health Care Tri-Valley Pleasanton$7,4941.6×42026-04-01
Saint John's Health Center Santa Monica$7,6181.8×52026-04-01
Palomar Medical Center Poway Poway$7,8631.8×12026-04-01
Keck Hospital Of Usc Los Angeles$8,0141.9×92026-04-01
Ucla West Valley Medical Center West Hills$8,2301.9×32026-03-29
Memorialcare Orange Coast Medical Center Fountain Valley$8,4122.0×102026-04-01
Ronald Reagan Ucla Medical Center Los Angeles$8,4422.0×62026-03-29
John Muir Medical Center - Walnut Creek Campus Walnut Creek$8,5671.8×152026-03-23
John Muir Medical Center - Concord Campus Concord$8,5671.8×152026-03-23
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$8,6532.0×52026-03-29
Memorialcare Saddleback Medical Center Laguna Hills$8,9582.1×102026-04-01
Kaiser Foundation Hospital - Los Angeles Los Angeles$9,5692.2×12026-04-01
Kaiser Foundation Hospital - Downey Downey$9,5692.2×12026-04-01
Kaiser Foundation Hospital - South Bay Harbor City$9,5692.2×12026-04-01
Kaiser Foundation Hospital - Zion San Diego$9,5692.2×12026-04-01
Kaiser Foundation Hospital - Woodland Hills Woodland Hills$9,5692.2×12026-04-01
Kaiser Foundation Hospital, Riverside Riverside$9,5692.2×12026-04-01
Kaiser Foundation Hospital - Baldwin Park Baldwin Park$9,5692.2×12026-04-01
Kaiser Foundation Hospital-Moreno Valley Moreno Valley$9,5692.2×12026-04-01
Kaiser Foundation Hospital - San Marcos San Marcos$9,5692.2×12026-04-01
Memorialcare Long Beach Medical Center Long Beach$9,5952.3×92026-04-01
Rady Children'S Hospital - San Diego San Diego$9,6542.3×52026-04-01
Providence Mission Hospital Mission Viejo$9,6622.3×62026-04-01
Providence St. Joseph Hospital Orange$9,7612.3×62026-04-01
Providence St. Jude Medical Center Fullerton$9,8912.3×62026-04-01
St Mary's Medical Center San Francisco$10,3782.2×72026-04-01
Mission Community Hospital Panorama City$11,3832.7×22026-09-01
Providence St Joseph Hospital Eureka$11,5932.7×42026-04-01
Providence Redwood Memorial Hospital Fortuna$12,1652.9×32026-04-01
Kaiser Foundation Hospital - South San Francisco South San Francisco$12,2722.6×12026-04-01
Kaiser Foundation Hospital-Santa Clara Santa Clara$12,2722.5×12026-04-01
Kaiser Foundation Hospital - Walnut Creek Walnut Creek$12,2722.6×12026-04-01
Kaiser Foundation Hospital - San Francisco San Francisco$12,2722.6×12026-04-01
Regional Medical Center Of San Jose San Jose$12,2722.5×12026-04-01
Kaiser Foundation Hospital - Sacramento Sacramento$12,2722.9×12026-04-01
Kaiser Foundation Hospital - Fremont Fremont$12,2722.6×12026-04-01
Kaiser Foundation Hospital - Redwood City Redwood City$12,2722.6×12026-04-01
Kaiser Foundation Hospital-Santa Rosa Santa Rosa$12,2722.8×12026-04-01
Kaiser Foundation Hospital - Fresno Fresno$12,2722.9×12026-04-01
Kaiser Foundation Hospital - Antioch Antioch$12,2722.6×12026-04-01
Kaiser Foundation Hospital - Vacaville Vacaville$12,2722.6×12026-04-01
Kaiser Foundation Hospital - Roseville Roseville$12,2722.9×12026-04-01
Kaiser Foundation Hospital - San Leandro San Leandro$12,2722.6×12026-04-01
Providence St Mary Medical Center Apple Valley$12,6803.0×42026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$12,7263.0×42026-04-01
Providence Santa Rosa Memorial Hospital Santa Rosa$12,8522.9×52026-04-01
Providence Queen Of The Valley Medical Center Napa$12,8823.0×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$13,4973.2×52026-09-01
University Of California Davis Medical Center Sacramento$16,6063.9×22026-04-01
Stanford Health Care Stanford$22,0414.5×32026-04-01
Cedars-Sinai Medical Center Los Angeles$25,5176.0×32025-11-26

Questions

How much do insurers pay for tonsillectomy (age 12+) in California?

85 California hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 85 hospitals is $8,567, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.