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

Posted commercial rates at 17 Kentucky hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
King'S Daughters' Medical Center Ashland$3,1241.0×22026-09-25
Chi Saint Joseph Berea Nf Berea$3,8151.2×12026-02-28
Uofl Health - Shelbyville Hospital Shelbyville$3,8931.2×62026-01-01
Uofl Health - Jewish Hospital Louisville$3,8931.2×62026-01-01
Spring View Hospital Lebanon$4,1831.3×12026-07-10
Chi Saint Joseph East Lexington$4,2301.3×32026-02-28
Deaconess Henderson Hospital Henderson$4,2411.4×92026-02-09
Jennie Stuart Medical Center Hopkinsville$4,4911.4×22026-02-12
Chi Saint Joseph Mount Sterling Mount Sterling$4,5281.5×22026-02-28
Ohio County Hospital Hartford$4,5741.5×12026-01-12
Chi Saint Joseph London London$4,6771.5×22026-02-28
Saint Joseph Hospital Lexington$5,2041.6×22026-02-28
Baptist Health Deaconess Madisonville Madisonville$5,3901.7×22026-02-03
Frankfort Regional Medical Center Frankfort$5,7101.8×32026-09-01
Jackson Purchase Medical Center Mayfield$6,0821.9×12026-07-10
Tristar Greenview Regional Hospital Bowling Green$6,2952.0×32026-09-01
Meadowview Regional Medical Center Maysville$8,7882.8×12026-07-10

Questions

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

17 Kentucky hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 17 hospitals is $4,528, 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.