Price AtlasInteractive atlas · All states · techysurgeon.comTonsillectomy (age 12+) in New York: what insurers pay
Posted commercial rates at 9 New York hospitals, each next to its own Medicare base rate.
Open in the explorerAll statesEvery bill for the whole procedure
CPT 42826
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx | $3,245 | 0.8× | 5 | 2026-09-05 |
| Jacobi Medical Center Bronx | $3,245 | 0.8× | 5 | 2026-09-05 |
| Elmhurst Hospital Center Elmhurst | $3,245 | 0.8× | 5 | 2026-09-05 |
| South Brooklyn Health Brooklyn | $3,245 | 0.8× | 5 | 2026-09-05 |
| Jamaica Hospital Medical Center Jamaica | $3,996 | 1.0× | 5 | 2026-03-25 |
| Stony Brook University Hospital Stony Brook | $5,783 | 1.4× | 5 | 2026-06-10 |
| Maimonides Medical Center Brooklyn | $6,160 | 1.5× | 5 | 2026-04-01 |
| Montefiore Medical Center Bronx | $7,886 | 1.9× | 8 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York | $9,887 | 2.4× | 7 | 2026-01-01 |
Questions
How much do insurers pay for tonsillectomy (age 12+) in New York?
9 New York hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 9 hospitals is $3,996, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.