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Tonsillectomy (age 12+) in North Dakota: what insurers pay

Posted commercial rates at 5 North Dakota hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Chi St Alexius Health Bismarck$5,6101.7×12026-02-28
Sanford Fargo$5,6851.7×12026-03-04
Altru Hospital Grand Forks$5,8761.7×32026-03-01
Essentia Health Fargo Fargo$7,3562.2×12026-01-01
Chi Mercy Health Valley City$9,9923.0×52026-02-28

Questions

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

5 North Dakota hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 5 hospitals is $5,876, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.