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

Posted commercial rates at 11 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
South Shore Hospital South Weymouth$2,4080.6×22026-04-01
Emerson Hospital - W Concord$3,2840.8×22026-05-18
Beth Israel Deaconess Hospital - Plymouth Plymouth$3,4920.9×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$3,5680.9×22026-04-01
Winchester Hospital Winchester$3,5770.9×32026-04-01
Beverly Hospital Corporation Beverly$3,6920.9×42026-04-01
New England Baptist Hospital Boston$3,9061.0×42026-04-01
Beth Israel Deaconess Hospital - Needham Needham$4,2971.1×22026-04-01
Mount Auburn Hospital Cambridge$4,3581.1×12026-04-01
Anna Jaques Hospital Newburyport$4,9331.2×32026-04-01
Beth Israel Deaconess Medical Center Boston$5,3481.4×22026-04-01

Questions

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

11 Massachusetts hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 11 hospitals is $3,692, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.