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

Posted commercial rates at 44 Michigan hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Oaklawn Hospital Marshall$1,8540.6×22026-03-27
Henry Ford Health Providence Southfield Hospital Southfield$2,0420.6×12026-01-01
Henry Ford Genesys Hospital Grand Blanc$2,0710.6×32026-01-01
Corewell Health Zeeland Hospital Zeeland$2,8050.8×22026-05-01
Corewell Health Big Rapids Hospital Big Rapids$2,8050.8×22026-05-01
Corewell Health Ludington Hospital Ludington$2,8050.8×22026-05-01
Corewell Health Reed City Hospital Reed City$2,8050.8×22026-05-01
Corewell Health Gerber Hospital Fremont$2,8050.8×22026-05-01
Corewell Health Pennock Hospital Hastings$2,8050.8×22026-05-01
Trinity Health Oakland Hospital Pontiac$2,8660.9×212026-03-31
Mclaren Bay Region Bay City$3,0370.9×12025-12-31
Trinity Health Ann Arbor Hospital Ann Arbor$3,0590.9×162026-03-31
Corewell Health Dearborn Hospital Dearborn$3,0670.9×12026-05-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$3,0670.9×22026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$3,0670.9×22026-05-01
Corewell Health Wayne Hospital Wayne$3,0670.9×22026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$3,0670.9×22026-05-01
Corewell Health Trenton Hospital Trenton$3,0670.9×22026-05-01
Corewell Health Taylor Hospital Taylor$3,0670.9×22026-05-01
Mclaren Northern Michigan Petoskey$3,1540.9×22025-12-31
Trinity Health Muskegon Hospital Muskegon$3,1961.0×222026-03-31
Karmanos Cancer Center Detroit$3,2021.0×22025-12-31
Trinity Health Grand Rapids Hospital Grand Rapids$3,2461.0×222026-03-31
Trinity Health Livonia Hospital Livonia$3,2651.0×222026-03-31
Mclaren Flint Flint$3,2781.0×22025-12-31
Munson Healthcare Grayling Hospital Grayling$3,3041.0×82026-04-17
Munson Healthcare Cadillac Hospital Cadillac$3,3041.0×72026-04-17
Munson Medical Center Traverse City$3,3041.0×82026-04-17
Mclaren Greater Lansing Lansing$3,3641.0×22025-12-31
Henry Ford Health Rochester Hospital Rochester$3,3741.0×12026-01-01
Mclaren Oakland Pontiac$3,9641.2×22025-12-31
Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph$4,0391.2×12026-05-01
Mclaren Macomb Mount Clemens$4,2641.3×22025-12-31
Henry Ford Health West Bloomfield Hospital West Bloomfield$4,2821.3×82026-06-28
Munson Healthcare Manistee Hospital Manistee$4,3071.3×42026-04-17
Trinity Health Livingston Hospital Howell$4,5071.4×222026-03-31
Henry Ford Health Macomb Hospital Clinton Township$4,5861.4×82026-06-28
Wyandotte Hospital And Medical Center Wyandotte$4,6351.4×92026-06-28
Henry Ford Health Hospital Detroit$5,2801.6×82026-06-28
Holland Hospital Holland$5,3031.6×12026-09-21
Munson Healthcare Otsego Memorial Hospital Gaylord$5,3101.6×22026-04-17
Henry Ford Health Jackson Hospital Jackson$5,7151.7×72026-06-28
Harper University Hospital Detroit$5,8121.8×12026-09-02
Huron Valley-Sinai Hospital Commerce Township$5,8121.8×12026-05-20

Questions

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

44 Michigan hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 44 hospitals is $3,224, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.