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

Posted commercial rates at 11 Nebraska hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Henderson Community Hospital Henderson$3,1820.9×62026-09-01
Methodist Hospital Omaha$4,4191.3×52026-02-14
Methodist Fremont Health Fremont$5,9971.7×22026-02-16
Chi Health Nebraska Heart Lincoln$6,9492.0×32026-02-28
Chi Health St Elizabeth Lincoln$9,0972.6×82026-02-28
Chi Health Creighton University Medical Center - B Omaha$9,8752.9×62026-02-28
Chi Health Immanuel Omaha$9,8752.9×62026-02-28
Chi Health Midlands Papillion$9,8752.9×62026-02-28
Chi Health Lakeside Omaha$9,8752.9×62026-02-28
Chi Health Good Samaritan Kearney$11,8393.4×62026-02-28
Chi Health St Francis Grand Island$20,5856.0×62026-02-28

Questions

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

11 Nebraska 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 $9,875, 2.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.