Price AtlasInteractive atlas · All states · techysurgeon.comTonsillectomy (age 12+) in New York City
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 42826
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $3,245 · local Medicare $4,139 · file 2026-09-05 | |||
| Aetna | $3,245 | 0.8× | 1 |
| Elevance/Anthem/Empire | $2,646 | 0.6× | 7 |
| EmblemHealth | $5,014 | 1.2× | 2 |
| Oscar | $6,208 | 1.5× | 1 |
| UnitedHealthcare | $3,205 | 0.8× | 3 |
| Jacobi Medical Center median $3,245 · local Medicare $4,139 · file 2026-09-05 | |||
| Aetna | $3,245 | 0.8× | 1 |
| Elevance/Anthem/Empire | $2,644 | 0.6× | 7 |
| EmblemHealth | $5,014 | 1.2× | 2 |
| Oscar | $6,208 | 1.5× | 1 |
| UnitedHealthcare | $3,205 | 0.8× | 3 |
| Elmhurst Hospital Center median $3,245 · local Medicare $4,139 · file 2026-09-05 | |||
| Aetna | $3,245 | 0.8× | 1 |
| Elevance/Anthem/Empire | $2,609 | 0.6× | 7 |
| EmblemHealth | $5,014 | 1.2× | 2 |
| Oscar | $6,208 | 1.5× | 1 |
| UnitedHealthcare | $3,205 | 0.8× | 3 |
| South Brooklyn Health median $3,245 · local Medicare $4,139 · file 2026-09-05 | |||
| Aetna | $3,245 | 0.8× | 1 |
| Elevance/Anthem/Empire | $2,634 | 0.6× | 7 |
| EmblemHealth | $5,014 | 1.2× | 2 |
| Oscar | $6,208 | 1.5× | 1 |
| UnitedHealthcare | $3,205 | 0.8× | 3 |
| Jamaica Hospital Medical Center median $3,996 · local Medicare $4,139 · file 2026-03-25 | |||
| Aetna | $3,996 | 1.0× | 4 |
| Cigna | $4,250 | 1.0× | 1 |
| Elevance/Anthem/Empire | $3,535 | 0.9× | 3 |
| EmblemHealth | $5,977 | 1.4× | 2 |
| Healthfirst | $3,501 | 0.8× | 1 |
| Maimonides Medical Center median $6,160 · local Medicare $4,139 · file 2026-04-01 | |||
| 1199SEIU | $3,898 | 0.9× | 1 |
| Aetna | $6,634 | 1.6× | 3 |
| Elevance/Anthem/Empire | $6,160 | 1.5× | 2 |
| EmblemHealth | $12,581 | 3.0× | 1 |
| UnitedHealthcare | $5,036 | 1.2× | 7 |
| Montefiore Medical Center median $7,886 · local Medicare $4,139 · file 2026-04-01 | |||
| 1199SEIU | $6,104 | 1.5× | 1 |
| Aetna | $24,470 | 5.9× | 2 |
| Cigna | $9,032 | 2.2× | 2 |
| Elevance/Anthem/Empire | $6,740 | 1.6× | 8 |
| EmblemHealth | $11,263 | 2.7× | 6 |
| Healthfirst | $3,518 | 0.8× | 1 |
| Oscar | $6,602 | 1.6× | 1 |
| UnitedHealthcare | $13,220 | 3.2× | 3 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $9,887 · local Medicare $4,139 · file 2026-01-01 | |||
| 1199SEIU | $8,539 | 2.1× | 3 |
| Aetna | $11,080 | 2.7× | 24 |
| BCBS (other) | $10,351 | 2.5× | 16 |
| Cigna | $6,487 | 1.6× | 22 |
| Elevance/Anthem/Empire | $10,351 | 2.5× | 34 |
| EmblemHealth | $8,427 | 2.0× | 71 |
| UnitedHealthcare | $9,887 | 2.4× | 24 |
Questions
How much does tonsillectomy (age 12+) cost with commercial insurance in New York City?
8 New York City hospitals post usable commercial rates for CPT 42826, hospital outpatient. The median across hospitals is $3,621; hospital medians range from $3,245 to $9,887. Your cost depends on your plan's deductible and coinsurance.