Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

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

Posted commercial rates at 16 Massachusetts hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Beth Israel Deaconess Hospital-Milton Inc Milton$2,5320.6×32026-04-01
Mercy Medical Ctr Springfield$2,5520.6×272026-03-31
South Shore Hospital South Weymouth$2,5520.6×32026-04-01
New England Baptist Hospital Boston$3,4750.9×52026-04-01
Umass Memorial Health-Milford Regional Medical Ctr Milford$3,6390.9×32026-04-01
Beverly Hospital Corporation Beverly$3,8891.0×52026-04-01
Emerson Hospital - W Concord$3,9881.0×42026-05-18
Winchester Hospital Winchester$4,2381.1×42026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$4,2791.1×32026-04-01
Signature Healthcare Brockton Hospital Brockton$4,3581.1×62026-01-28
Umass Memorial Medical Center Inc Worcester$4,6421.2×22026-03-26
Mount Auburn Hospital Cambridge$4,6691.2×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$4,9271.2×32026-04-01
Anna Jaques Hospital Newburyport$4,9331.2×32026-04-01
Beth Israel Deaconess Hospital - Needham Needham$5,0501.3×32026-04-01
Beth Israel Deaconess Medical Center Boston$5,6061.4×32026-04-01

Questions

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

16 Massachusetts hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 16 hospitals is $4,259, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.