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

Posted commercial rates at 38 Illinois hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Mt Sinai Hospital Medical Center Chicago$3,0440.9×42026-09-22
Holy Cross Hospital Chicago$3,0440.9×62026-09-22
West Suburban Medical Center Oak Park$3,2790.9×52025-03-17
Northwestern Medicine Mchenry Hospital McHenry$3,5771.0×22026-04-01
Northwestern Lake Forest Hospital Lake Forest$3,5771.0×12026-04-01
Northwestern Medicine Delnor Community Hospital Geneva$3,5771.0×12026-04-01
Hammond Henry Hospital Geneseo$3,5961.0×22026-01-22
Endeavor Health Northwest Community Hospital Arlington Heights$3,8111.1×32026-04-01
Uchicago Medicine Adventhealth La Grange La Grange$3,8231.1×42026-04-01
Uchicago Medicine Adventhealth Glenoaks Glendale Heights$3,8231.1×42026-04-01
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook$3,8231.1×42026-04-01
Mercy Medical Center Aurora$4,0661.1×82026-09-01
Uchicago Medicine Adventhealth Hinsdale Hinsdale$4,0861.1×52026-04-01
Saint Francis Hospital-Evanston Evanston$4,2431.2×92026-09-01
Northwestern Memorial Hospital Chicago$4,2501.2×12026-04-01
Endeavor Health Edward Hospital Naperville$4,6661.3×22026-04-01
Swedish Hospital Chicago$4,7181.3×32026-04-01
Loyola Gottlieb Memorial Hospital Melrose Park$4,8421.4×12026-03-31
Ingalls Memorial Hospital Harvey$5,0281.4×52026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$5,3631.5×22026-04-01
John H Stroger Jr Hospital Chicago$5,5051.6×12026-04-01
Morrison Community Hospital Morrison$5,5671.6×32026-03-13
Deaconess Illinois Medical Center Marion$5,5781.6×52026-02-03
Advocate Sherman Hospital Elgin$5,6781.6×12025-11-04
Endeavor Health Evanston Hospital Evanston$5,9081.7×22026-04-01
Advocate Condell Medical Center Libertyville$6,5141.8×12025-11-04
Advocate Trinity Hospital Chicago$7,2952.0×12025-11-04
Advocate Illinois Masonic Medical Center Chicago$7,2952.0×12025-11-04
Advocate Christ Medical Center Oak Lawn$7,2952.0×12025-11-04
Advocate Lutheran General Hospital Park Ridge$7,2952.0×12025-11-04
Advocate Good Samaritan Hospital Downers Grove$7,2952.0×12025-11-04
Advocate Good Shepherd Hospital Barrington$7,2952.0×12025-11-04
University of Chicago Medical Center Chicago$7,5432.1×22026-04-01
Carle Health Proctor Hospital Peoria$7,7102.2×12026-04-15
Carle Health Pekin Hospital Pekin$7,7102.2×12026-04-15
Carle Health Methodist Hospital Peoria$7,7102.2×12026-04-15
Trinity Rock Island Rock Island$8,1832.3×32026-01-28
Deaconess Illinois Crossroads Mount Vernon$9,6352.7×32026-02-03

Questions

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

38 Illinois hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 38 hospitals is $5,196, 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.