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

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

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
St Luke'S Nampa Medical Center Nampa$2,7430.8×72026-03-25
St Luke'S Jerome Jerome$2,7430.8×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$2,7430.8×82026-03-25
St Joseph Regional Medical Center Lewiston$2,8450.9×12026-04-01
North Canyon Medical Center Gooding$3,2431.0×12026-04-13
Treasure Valley Hospital Boise$3,3501.0×32026-09-02
Northwest Specialty Hospital Post Falls$3,4561.0×52026-03-05
Kootenai Health Coeur D'Alene$4,1031.2×32026-03-27
Intermountain Health Cassia Regional Hospital Burley$4,5231.4×82026-08-05
Mountain View Hospital Idaho Falls$4,9201.5×22026-03-16
Saint Alphonsus Medical Center - Nampa Nampa$6,4341.9×72026-03-31
Idaho Falls Community Hospital, Llc Idaho Falls$7,3702.3×32026-03-16
West Valley Medical Center Caldwell$8,3412.5×32026-09-01
St Luke'S Regional Medical Center Boise$9,7552.9×32026-03-25
Saint Alphonsus Regional Medical Center Boise$12,3223.7×22026-03-31

Questions

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

15 Idaho 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 $4,103, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.