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

Posted commercial rates at 22 Iowa hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Kossuth Regional Health Center Algona$2,4650.8×12026-07-16
Hawarden Regional Healthcare Hawarden$2,8630.9×12026-04-24
Mercyone Newton Medical Center Newton$3,3871.1×202026-03-31
Mercyone North Iowa Medical Center Mason City$3,3871.1×172026-03-31
Mercyone Waterloo Medical Center Waterloo$3,3871.1×182026-03-31
Mercyone Clinton Medical Center Clinton$3,3871.1×202026-03-31
Mercyone Des Moines Medical Center Des Moines$3,3871.1×202026-03-31
Madison County Health Care System Winterset$3,4661.1×12026-09-23
Adair County Memorial Hospital Greenfield$3,5121.1×12026-09-02
Cherokee Regional Medical Center Cherokee$4,2441.3×42025-11-19
Floyd County Medical Center Charles City$4,7401.5×32025-11-19
Gundersen Palmer Lutheran Hospital And Clinics West Union$4,9671.6×12026-06-27
Mercyone Dubuque Medical Center Dubuque$5,1611.6×52026-03-31
Unitypoint Health - Marshalltown Marshalltown$5,7001.8×12026-01-28
Finley Hospital Dubuque$6,3802.0×42026-01-28
Broadlawns Medical Center Des Moines$6,4472.0×22026-09-01
Trinity Bettendorf Bettendorf$7,0192.2×32026-01-28
Allen Hospital Waterloo$7,2012.3×32026-01-28
Trinity Regional Medical Center Fort Dodge$7,9652.5×32026-01-28
Trinity Muscatine Muscatine$8,8562.8×22026-01-28
Chi Health Mercy Council Bluffs Council Bluffs$9,8752.9×62026-02-28
Ottumwa Regional Health Center Ottumwa$10,0613.2×32026-07-23

Questions

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

22 Iowa hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 22 hospitals is $4,854, 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.