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

Posted commercial rates at 8 Minnesota hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Park Nicollet Methodist Hospital Saint Louis Park$2,7400.8×32026-03-31
Regions Hospital Saint Paul$4,0721.2×12026-03-31
M Health Fairview Southdale Hospital Edina$4,7091.4×42026-02-06
M Health Fairview University of Minnesota Medical Center Minneapolis$4,7781.4×42026-02-06
M Health Fairview Lakes Medical Center Wyoming$4,8001.4×42026-02-05
M Health Fairview Northland Medical Center Princeton$4,8001.4×42026-01-29
M Health Fairview Ridges Hospital Burnsville$4,8001.4×42026-02-06
Hennepin County Medical Center Minneapolis$4,9661.4×22025-12-17

Questions

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

8 Minnesota hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 8 hospitals is $4,789, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.