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

Posted commercial rates at 50 Ohio hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Akron Children'S Hospital Akron$1,9930.6×12025-11-11
University Hospitals Samaritan Medical Center Ashland$2,5900.8×12026-07-14
University Hospitals Cleveland Medical Center Cleveland$2,6940.9×12026-07-14
University Hospitals Portage Medical Center Ravenna$2,9090.9×52026-07-14
Parma Community General Hospital Parma$2,9590.9×52026-07-14
Fisher-Titus Hospital Norwalk$3,1331.0×32026-04-29
East Liverpool City Hospital East Liverpool$3,1391.0×42026-09-01
University Hospitals - Elyria Medical Center Elyria$3,1741.0×62026-07-14
Union Hospital Dover$3,2941.1×22026-06-15
University Hospitals St. John Medical Center Westlake$3,4021.1×62026-07-14
Euclid Hospital Euclid$3,4501.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$3,4501.1×32026-06-15
Marymount Hospital Garfield Heights$3,4501.1×32026-06-15
South Pointe Hospital Warrensville Heights$3,4501.1×32026-06-15
Mercy Medical Center Canton$3,4881.1×22026-06-15
University Hospitals Conneaut Medical Center Conneaut$3,8111.2×42026-07-14
University Hospitals Ahuja Medical Center Beachwood$4,0521.3×62026-07-14
Medina Hospital Medina$4,4741.4×42026-06-15
MetroHealth System Cleveland$4,7931.5×82026-04-01
Pomerene Hospital Millersburg$4,8351.5×32026-03-24
Adena Pike Medical Center Waverly$5,0701.6×22026-08-19
Cleveland Clinic (main campus) Cleveland$5,2761.7×62026-06-16
West Chester Hospital, Llc West Chester$5,3251.6×42026-07-01
University Of Cincinnati Medical Center, Llc Cincinnati$5,9401.8×52026-07-01
Aultman Hospital Canton$6,5662.1×42026-04-01
Adena Fayette Medical Center Washington Ch$6,7752.2×12026-08-19
Akron General Medical Center Akron$6,8312.2×52026-06-15
Cleveland Clinic Fairview Hospital Cleveland$6,8312.2×52026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$6,8312.2×52026-06-15
Summa Health System Akron$6,8432.2×92026-04-01
Bethesda North Cincinnati$7,0162.2×42026-04-01
Adena Regional Medical Center Chillicothe$7,1732.3×42026-08-19
Miami Valley Hospital Dayton$7,5622.3×22026-04-01
Atrium Medical Center Franklin$7,5732.3×22026-04-01
Upper Valley Medical Center Troy$7,6502.4×22026-04-01
Marietta Memorial Hospital Marietta$7,8422.5×12026-10-01
Mccullough-Hyde Memorial Hospital Oxford$8,1262.5×72026-04-01
Good Samaritan Hospital Cincinnati$8,1262.5×72026-04-01
Lima Memorial Health System Lima$9,1772.9×22026-04-01
Kettering Health Main Campus Kettering$10,0163.1×62026-04-01
Kettering Health Dayton Dayton$10,0163.1×62026-04-01
Soin Medical Center Beaver Creek$10,0163.1×62026-04-01
Kettering Health Greene Memorial Xenia$10,0563.1×62026-04-01
Kettering Health Troy Troy$10,0563.1×62026-04-01
Kettering Health Miamisburg Miamisburg$10,1603.1×62026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$10,1623.2×12026-04-01
Alliance Community Hospital Alliance$11,3243.6×12026-04-01
Aultman Orrville Hospital Orrville$11,3243.6×12026-04-01
Mount Carmel East Columbus$11,9253.7×242026-03-31
Salem Regional Medical Center Salem$12,7444.1×22026-04-01

Questions

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

50 Ohio hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 50 hospitals is $6,671, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.