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Tonsillectomy (age 12+) in New Jersey: what insurers pay

Posted commercial rates at 26 New Jersey hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Morristown Medical Center Morristown$3,7631.0×12026-04-01
Chilton Medical Center Pompton Plains$3,7631.0×112026-04-01
Newton Medical Center Newton$3,7631.0×112026-04-01
Overlook Medical Center Summit$3,7631.0×112026-04-01
Hackettstown Medical Center Hackettstown$3,7631.0×102026-04-01
Centrastate Medical Center Freehold$4,1791.1×162026-01-01
St Mary'S General Hospital Passaic$5,6241.4×82026-09-01
Raritan Bay Medical Center Perth Amboy$5,7421.5×82025-12-31
Englewood Hospital Englewood$5,8341.5×42026-02-02
University Hospital Newark$6,3061.7×32026-08-13
Southern Ocean Medical Center Manahawkin$6,3321.7×62025-12-31
St Joseph'S University Medical Center Inc Paterson$6,7751.7×32026-04-24
Bayshore Medical Center Holmdel$7,2001.9×62025-12-31
Ocean University Medical Center Brick$7,2201.9×62025-12-31
Riverview Medical Center Red Bank$7,2621.9×62025-12-31
Palisades Medical Center North Bergen$7,7702.0×52025-12-31
Hackensack University Medical Center Hackensack$7,7732.0×52025-12-31
St Luke'S Warren Hospital Phillipsburg$8,1952.2×32026-02-27
Shore Medical Center Somers Point$8,2362.2×42026-08-30
Jersey Shore University Medical Center Neptune$8,5222.3×32025-12-31
Jefferson Stratford Hospital Stratford$9,0222.4×32026-09-15
Jfk University Medical Center Edison$9,0502.4×52025-12-31
Deborah Heart And Lung Center Browns Mills$10,5112.8×42026-02-26
Valley Hospital Paramus$11,3902.9×42026-05-06
Inspira Medical Center Vineland Vineland$13,3203.6×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$13,3203.6×12026-03-24

Questions

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

26 New Jersey hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 26 hospitals is $7,210, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.