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

Posted commercial rates at 8 New Mexico hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Cibola General Hospital Grants$2,0190.6×1
Christus St Vincent Regional Medical Center Santa Fe$3,4221.0×92026-01-13
Presbyterian Espanola Hospital Espanola$5,9971.8×12026-04-01
Unm Hospital Albuquerque$6,5322.0×12026-03-25
Presbyterian Santa Fe Medical Center Santa Fe$9,2542.7×12026-04-01
Presbyterian Hospital Albuquerque$10,0123.0×22026-04-01
Memorial Medical Center Las Cruces$11,6113.5×12026-07-10
Los Alamos Medical Center Los Alamos$13,5634.1×12026-07-10

Questions

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

8 New Mexico hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 8 hospitals is $7,893, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.