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

Posted commercial rates at 6 Montana hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Phillips County Medical Center Malta$4,0541.2×12026-08-04
Intermountain Health St Vincent Regional Hospital Billings$6,4481.9×82026-03-22
Intermountain Health St James Hospital Butte$6,8102.0×32026-03-22
Great Falls Clinic Hospital Great Falls$7,5002.2×22026-02-18
St Peters Health Helena$8,2042.4×222026-03-31
Providence St Joseph Medical Center Polson$9,2832.7×12026-04-01

Questions

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

6 Montana hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 6 hospitals is $7,155, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.