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

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

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$4,3851.3×22026-08-05
Intermountain Health Utah Valley Hospital Provo$4,5231.4×22026-08-05
Lds Hospital Salt Lake City$4,5231.4×22026-08-05
Intermountain Medical Center Murray$4,5231.4×22026-08-05
American Fork Hospital American Fork$4,5231.4×22026-08-05
Orem Community Hospital Orem$4,5231.4×22026-08-05
Intermountain Health Alta View Hospital Sandy$4,5231.4×22026-08-05
Intermountain Health Layton Hospital Layton$4,5231.4×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$4,5231.4×22026-08-05

Questions

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

9 Utah 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 $4,523, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.