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Tonsillectomy (age 12+) in South Dakota: what insurers pay

Posted commercial rates at 3 South Dakota hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Sanford Usd Medical Center Sioux Falls$4,0021.2×12026-03-04
Huron Regional Medical Center Huron$4,1201.2×12026-03-31
Same Day Surgery Center Llc Rapid City$9,0522.7×22026-09-10

Questions

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

3 South Dakota hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 3 hospitals is $4,120, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.