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

Posted commercial rates at 19 Kansas hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Fredonia Regional Hospital Fredonia$2,2460.7×22026-08-04
Russell Regional Hospital Russell$2,7850.9×12026-06-01
Ascension Via Christi Hospital Manhattan, Inc Manhattan$3,0171.0×12026-01-01
Manhattan Surgical Hospital Llc Manhattan$3,5881.2×22025-11-12
Wamego Health Center Wamego$3,6581.2×12026-01-01
Sabetha Community Hospital Sabetha$3,7811.2×22026-08-04
Salina Surgical Hospital Salina$3,8071.3×12026-01-15
Phillips County Health Systems Phillipsburg$4,0541.3×12026-08-04
Saint Luke'S South Hospital Overland Park$4,1001.3×52025-12-31
Mercy Specialty Hospital Southeast Kansas Galena$4,4041.4×92026-06-09
Hospital District #1 Of Rice County Lyons$4,5681.5×22026-08-14
Wesley Medical Center Wichita$4,6001.5×32026-09-01
Adventhealth Ottawa Ottawa$4,7361.6×42026-04-01
Mercy Hospital Pittsburg, Inc Pittsburg$4,7561.6×32026-06-09
Adventhealth Shawnee Mission Shawnee Mission$5,5141.8×42026-04-01
Adventhealth South Overland Park, Inc Overland Park$5,5621.8×52026-04-01
Ascentist Hospital Llc Leawood$6,3022.0×42026-04-26
Menorah Medical Center Overland Park$7,6222.4×52026-09-01
Providence Medical Center Kansas City$15,6985.0×22026-04-01

Questions

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

19 Kansas hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 19 hospitals is $4,404, 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.