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

Posted commercial rates at 14 Michigan hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Trinity Health Oakland Hospital Pontiac$2,8660.9×162026-03-31
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$3,0670.9×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$3,0670.9×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$3,0670.9×12026-05-01
Corewell Health Wayne Hospital Wayne$3,0670.9×12026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$3,0670.9×12026-05-01
Corewell Health Trenton Hospital Trenton$3,0670.9×12026-05-01
Trinity Health Livonia Hospital Livonia$3,2651.0×152026-03-31
Henry Ford Health Rochester Hospital Rochester$3,3741.0×12026-01-01
Trinity Health Livingston Hospital Howell$4,5071.4×152026-03-31
Henry Ford Health Macomb Hospital Clinton Township$4,5861.4×22026-06-28
Henry Ford Health Hospital Detroit$5,2801.6×22026-06-28
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?

14 Michigan hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 14 hospitals is $3,166, 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.