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

Posted commercial rates at 4 Missouri hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Hospital St Louis Saint Louis$4,9531.5×12026-06-04
Mercy Hospital Jefferson Festus$4,9531.5×12026-06-10
Mercy Hospital South Saint Louis$4,9531.5×12026-06-10
Mercy Hospital Washington Washington$4,9531.5×12026-06-10

Questions

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

4 Missouri hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 4 hospitals is $4,953, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.