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

Posted commercial rates at 8 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
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,0521.0×22026-01-01
Vanderbilt University Medical Center Nashville$3,7191.2×72025-10-01
Vanderbilt Wilson County Hospital Lebanon$3,7191.2×72025-10-01
TriStar Skyline Medical Center Nashville$3,8801.2×52026-09-01
TriStar Summit Medical Center Hermitage$3,8801.2×52026-09-01
TriStar StoneCrest Medical Center Smyrna$4,0821.3×52026-09-01
TriStar Hendersonville Medical Center Hendersonville$4,0821.3×52026-09-01

Questions

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

8 Tennessee hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 8 hospitals is $3,800, 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.