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

Posted commercial rates at 15 Colorado hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Porter Denver$2,8530.8×42026-04-01
Adventhealth Parker Parker$2,8530.8×42026-04-01
Adventhealth Littleton Littleton$2,8530.8×42026-04-01
Adventhealth Castle Rock Castle Rock$2,8530.8×42026-04-01
Uchealth Highlands Ranch Hospital Highlands Ranch$4,5121.3×42025-11-01
HCA HealthONE Swedish Englewood$4,5591.3×42026-09-01
HCA HealthONE Sky Ridge Lone Tree$4,6331.3×42026-09-01
Hca Healthone Rose Denver$4,7621.4×42026-09-01
HCA HealthONE Presbyterian/St. Luke's Denver$4,8571.4×42026-09-01
Uchealth Broomfield Hospital Broomfield$4,9861.4×42025-11-01
Denver Health Medical Center Denver$5,4861.6×42026-04-30
UCHealth University of Colorado Hospital Aurora$5,9801.7×32025-11-01
Lutheran Medical Center Wheat Ridge$6,8962.0×62026-03-22
Intermountain Health Saint Joseph Hospital Denver$6,8962.0×62026-03-22
Intermountain Health Platte Valley Hospital Brighton$8,3812.4×32026-03-22

Questions

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

15 Colorado hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 15 hospitals is $4,762, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.