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Tonsillectomy (age 12+) in Cleveland OH

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 42826

Hospital · insurerRate× MedicarePlans
University Hospitals - Elyria Medical Center median $3,174 · local Medicare $3,137 · file 2026-07-14
Aetna$5,0951.6×1
Cigna$2,7750.9×1
Elevance/Anthem/Empire$3,0921.0×2
UnitedHealthcare$3,2561.0×2
University Hospitals St. John Medical Center median $3,402 · local Medicare $3,137 · file 2026-07-14
Aetna$5,0951.6×1
Cigna$2,7750.9×1
Elevance/Anthem/Empire$2,3720.8×1
UnitedHealthcare$4,0291.3×2
MetroHealth System median $3,619 · local Medicare $3,137 · file 2026-04-01
Aetna$2,8580.9×2
Cigna$3,1841.0×1
Elevance/Anthem/Empire$11,9593.8×1
UnitedHealthcare$4,0541.3×1
University Hospitals Ahuja Medical Center median $4,774 · local Medicare $3,137 · file 2026-07-14
Aetna$4,7741.5×2
Medina Hospital median $5,944 · local Medicare $3,137 · file 2026-06-15
Elevance/Anthem/Empire$5,9441.9×3
Cleveland Clinic (main campus) median $6,238 · local Medicare $3,137 · file 2026-06-16
Cigna$7,9482.5×1
Elevance/Anthem/Empire$4,3151.4×1
UnitedHealthcare$6,2382.0×1
Cleveland Clinic Lutheran Hospital median $6,791 · local Medicare $3,137 · file 2026-06-15
Elevance/Anthem/Empire$6,7912.2×1
Marymount Hospital median $6,791 · local Medicare $3,137 · file 2026-06-15
Elevance/Anthem/Empire$6,7912.2×1
Cleveland Clinic Hillcrest Hospital median $7,260 · local Medicare $3,137 · file 2026-06-15
Elevance/Anthem/Empire$7,6902.5×2
UnitedHealthcare$6,8312.2×1
Cleveland Clinic Fairview Hospital median $7,260 · local Medicare $3,137 · file 2026-06-15
Elevance/Anthem/Empire$7,6902.5×2
UnitedHealthcare$6,8312.2×1

Questions

How much does tonsillectomy (age 12+) cost with commercial insurance in Cleveland OH?

10 Cleveland OH hospitals post usable commercial rates for CPT 42826, hospital outpatient. The median across hospitals is $6,091; hospital medians range from $3,174 to $7,260. Your cost depends on your plan's deductible and coinsurance.