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

Posted commercial rates at 9 Oklahoma hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S Regional Medical Center Enid$2,1560.7×12026-09-01
Mercy Hospital Oklahoma City, Inc Oklahoma City$3,3871.1×22026-06-12
Oklahoma Surgical Hospital, Llc Tulsa$3,7611.2×62025-10-31
Saint Francis Hospital Muskogee Muskogee$6,7482.1×22026-04-01
Saint Francis Hospital Vinita, Inc Vinita$6,7482.1×22026-04-01
Saint Francis Hospital, Inc Tulsa$6,8862.2×12026-04-01
Saint Francis Hospital South, Llc Tulsa$6,8862.2×32026-04-01
Stillwater Medical Center Stillwater$7,9292.5×42025-12-31
Valley Community Hospital Pauls Valley$11,3903.6×42026-05-06

Questions

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

9 Oklahoma 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 $6,748, 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.