Price AtlasInteractive atlas · All states · techysurgeon.comTonsillectomy (age 12+) in North Carolina: what insurers pay
Posted commercial rates at 11 North Carolina hospitals, each next to its own Medicare base rate.
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CPT 42826
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| North Carolina Specialty Hospital Durham | $3,175 | 1.0× | 1 | 2026-02-25 |
| Atrium Health Lincoln Lincolnton | $3,803 | 1.2× | 1 | 2025-12-01 |
| Frye Regional Medical Center Hickory | $3,828 | 1.2× | 2 | 2026-07-08 |
| Atrium Health Cabarrus Concord | $3,856 | 1.2× | 1 | 2025-12-01 |
| Atrium Health Pineville Charlotte | $3,856 | 1.2× | 1 | 2025-12-05 |
| Atrium Health Union Monroe | $3,856 | 1.2× | 1 | 2025-12-04 |
| Atrium Health University City Charlotte | $3,856 | 1.2× | 1 | 2025-12-05 |
| Novant Health New Hanover Regional Medical Center Wilmington | $3,928 | 1.2× | 3 | 2026-03-30 |
| Cape Fear Valley Medical Center Fayetteville | $8,212 | 2.5× | 1 | 2026-03-21 |
| Caromont Regional Medical Center Gastonia | $8,790 | 2.7× | 4 | 2026-05-11 |
| Harris Regional Hospital Sylva | $9,044 | 2.9× | 1 | 2026-07-10 |
Questions
How much do insurers pay for tonsillectomy (age 12+) in North Carolina?
11 North Carolina hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 11 hospitals is $3,856, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.