Price AtlasInteractive atlas · All states · techysurgeon.comTonsillectomy (age 12+) in Virginia: what insurers pay
Posted commercial rates at 11 Virginia hospitals, each next to its own Medicare base rate.
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CPT 42826
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Reston Hospital Center Reston | $4,988 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center Dulles | $4,995 | 1.5× | 4 | 2026-09-01 |
| Spotsylvania Regional Medical Center Fredericksburg | $5,498 | 1.6× | 3 | 2026-09-01 |
| Inova Alexandria Hospital Alexandria | $6,158 | 1.8× | 5 | 2026-04-01 |
| Inova Loudoun Hospital Leesburg | $6,158 | 1.8× | 5 | 2026-04-01 |
| Inova Fairfax Hospital Falls Church | $6,158 | 1.8× | 5 | 2026-04-01 |
| Inova Fair Oaks Hospital Fairfax | $6,158 | 1.8× | 5 | 2026-04-01 |
| Inova Mount Vernon Hospital Alexandria | $6,158 | 1.8× | 5 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) Richmond | $6,884 | 2.1× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital Richmond | $6,884 | 2.1× | 4 | 2026-09-01 |
| Tricities Hospital Hopewell | $6,884 | 2.1× | 4 | 2026-09-01 |
Questions
How much do insurers pay for tonsillectomy (age 12+) in Virginia?
11 Virginia hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 11 hospitals is $6,158, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.