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

Posted commercial rates at 7 Florida hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Tampa General Hospital Tampa$4,1161.2×32026-04-01
Cleveland Clinic Hospital Weston$5,0381.5×12026-06-15
Morton Plant Hospital Clearwater$6,0371.7×22026-01-01
Mease Dunedin Hospital Dunedin$6,0371.7×22026-01-01
South Florida Baptist Hospital Plant City$6,0371.7×22026-01-01
Mease Countryside Hospital Safety Harbor$6,0371.7×22026-01-01
Tampa General Hospital Brooksville Brooksville$15,5234.5×32026-04-01

Questions

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

7 Florida hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 7 hospitals is $6,037, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.