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

Posted commercial rates at 30 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$2,3070.7×12026-01-01
Starr Regional Medical Center Athens Athens$2,4340.8×22026-07-10
Livingston Regional Hospital Livingston$2,5670.8×22026-04-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,0521.0×22026-01-01
Morristown Hamblen Hospital Association Morristown$3,1581.1×52026-08-05
Roane Medical Center Harriman$3,1581.1×52026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$3,1581.1×52026-08-05
Fort Sanders Regional Medical Center Knoxville$3,1581.1×52026-08-05
Parkwest Medical Center Knoxville$3,1781.1×42026-08-05
Cumberland Medical Center Crossville$3,3791.1×52026-08-05
Claiborne Medical Center Tazewell$3,3791.1×52026-08-05
Leconte Medical Center Sevierville$3,3791.1×52026-08-05
Parkridge Medical Center Chattanooga$3,4941.1×62026-09-01
Tristar Northcrest Medical Center Springfield$3,6361.1×62026-09-01
Methodist Hospitals of Memphis Memphis$3,7341.2×42026-03-19
Tennova Healthcare North Knoxville Medical Center Powell$3,8061.3×52026-04-01
Tristar Southern Hills Medical Center Nashville$3,8521.2×62026-09-01
Tristar Ashland City Medical Center Ashland City$3,8521.2×62026-09-01
TriStar Skyline Medical Center Nashville$3,8601.2×62026-09-01
TriStar Summit Medical Center Hermitage$3,8601.2×62026-09-01
Erlanger Health System Chattanooga$3,9501.3×32026-01-25
Tristar Horizon Medical Center Dickson$3,9601.3×62026-09-01
TriStar Hendersonville Medical Center Hendersonville$3,9601.3×62026-09-01
TriStar StoneCrest Medical Center Smyrna$3,9601.3×62026-09-01
Hardin Medical Center Savannah$4,5461.5×22026-05-01
Erlanger Bledsoe Hospital Pikeville$5,4481.8×12026-01-25
Vanderbilt Wilson County Hospital Lebanon$6,1501.9×122025-10-01
Vanderbilt Bedford Hospital Shelbyville$6,6162.2×112025-10-01
Vanderbilt University Medical Center Nashville$6,6842.1×122025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$6,8182.3×112025-10-01

Questions

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

30 Tennessee hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 30 hospitals is $3,770, 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.