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

Posted commercial rates at 29 California hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$4,2641.0×12026-03-30
Scripps Mercy Hospital San Diego$4,2641.0×12026-03-30
Scripps Memorial Hospital La Jolla La Jolla$4,2641.0×12026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$4,2641.0×12026-03-30
Providence Cedars Sinai Tarzana Medical Center Tarzana$5,1961.2×42026-04-01
Providence Saint Joseph Medical Ctr Burbank$5,2461.2×42026-04-01
Providence Holy Cross Medical Center Mission Hills$5,4421.3×52026-04-01
Tri-City Medical Center Oceanside$5,4521.3×42026-05-29
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$5,6151.3×42026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$5,6271.3×42026-04-01
Usc Verdugo Hills Hospital Glendale$6,6321.6×42026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$7,3681.7×52026-04-01
Stanford Health Care Tri-Valley Pleasanton$7,4941.6×42026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$7,6341.8×22026-03-29
Memorialcare Long Beach Medical Center Long Beach$8,2281.9×52026-04-01
Ucla West Valley Medical Center West Hills$8,2301.9×12026-03-29
Good Samaritan Hospital San Jose$8,7401.8×62026-09-01
Keck Hospital Of Usc Los Angeles$8,7702.1×52026-04-01
Providence Mission Hospital Mission Viejo$9,3332.2×52026-04-01
Providence St. Joseph Hospital Orange$9,5322.2×52026-04-01
Providence St. Jude Medical Center Fullerton$9,7922.3×52026-04-01
St Mary's Medical Center San Francisco$10,8142.3×52026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$12,7263.0×42026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$13,4973.2×52026-09-01
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$13,7043.2×42026-04-01
Stanford Health Care Stanford$22,0414.5×32026-04-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$22,0724.7×62026-03-23
John Muir Medical Center - Concord Campus Concord$22,0724.7×62026-03-23
Cedars-Sinai Medical Center Los Angeles$25,5176.0×32025-11-26

Questions

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

29 California hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 29 hospitals is $8,228, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.