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

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

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Porter Denver$2,2140.6×82026-04-01
Adventhealth Avista Louisville$2,2140.6×82026-04-01
Adventhealth Parker Parker$2,2140.6×82026-04-01
Adventhealth Littleton Littleton$2,2140.6×82026-04-01
Adventhealth Castle Rock Castle Rock$2,2140.6×82026-04-01
Intermountain Health St. Mary'S Regional Hospital Grand Junction$3,2590.9×32026-03-22
Uchealth Pikes Peak Regional Hospital Woodland Park$3,5661.0×22025-11-01
Uchealth Highlands Ranch Hospital Highlands Ranch$4,5121.3×42025-11-01
Longs Peak Hospital Longmont$4,8441.4×42025-11-01
Uchealth Yampa Valley Medical Center Steamboat Springs$4,9231.4×12025-11-01
Uchealth Broomfield Hospital Broomfield$4,9861.4×42025-11-01
Uchealth Grandview Hospital Colorado Springs$5,1341.5×42025-11-01
HCA HealthONE Swedish Englewood$5,1821.5×52026-09-01
Hca Healthone Mountain Ridge Thornton$5,2701.5×52026-09-01
HCA HealthONE Sky Ridge Lone Tree$5,2701.5×52026-09-01
Aspen Valley Hospital District Aspen$5,4731.6×12026-03-26
Denver Health Medical Center Denver$5,4861.6×42026-04-30
HCA HealthONE Presbyterian/St. Luke's Denver$5,4921.6×52026-09-01
Hca Healthone Rose Denver$5,4921.6×52026-09-01
UCHealth University of Colorado Hospital Aurora$5,9801.7×32025-11-01
Animas Surgical Hospital, Llc Durango$6,0901.7×32026-03-16
Uchealth Greeley Hospital Greeley$6,1641.8×22025-11-01
Intermountain Health Platte Valley Hospital Brighton$6,2551.8×62026-03-22
Poudre Valley Hospital Fort Collins$7,1172.0×22025-11-01
Medical Center Of The Rockies Loveland$7,1172.0×22025-11-01
Lutheran Medical Center Wheat Ridge$7,5262.1×102026-03-22
Intermountain Health Saint Joseph Hospital Denver$7,5262.1×102026-03-22
Intermountain Health Good Samaritan Hospital Lafayette$7,5262.1×102026-03-22
Parkview Medical Center, Inc Pueblo$10,1812.9×42025-11-01

Questions

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

29 Colorado 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 $5,270, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.