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

Posted commercial rates at 28 Washington hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$3,3170.9×32026-04-01
St Elizabeth Hospital Enumclaw$8,0162.1×72026-02-28
Multicare Capital Medical Center Olympia$8,4612.3×92026-08-27
Swedish Issaquah Issaquah$8,5472.2×72026-04-01
St Anne Hospital Burien$8,8922.3×82026-02-28
Swedish Edmonds Hospital Edmonds$8,9842.4×72026-04-01
St Clare Hospital Lakewood$9,1242.4×92026-02-28
St Joseph Medical Center Tacoma$9,1242.4×92026-02-28
St Francis Community Hospital Federal Way$9,1242.4×92026-02-28
Providence Regional Medical Center Everett Everett$9,2682.5×72026-04-01
Overlake Hospital Medical Center Bellevue$9,3622.4×62026-04-01
St Anthony Hospital Gig Harbor$9,4632.5×92026-02-28
Multicare Deaconess Hospital Spokane$9,4962.6×52026-08-27
Providence Holy Family Hospital Spokane$9,5362.6×62026-04-01
Multicare Valley Hospital Spokane$9,5602.6×62026-08-27
Providence St Mary Medical Center Walla Walla$9,7372.6×62026-04-01
Kadlec Regional Medical Center Richland$10,0482.7×42026-04-01
Legacy Salmon Creek Medical Center Vancouver$10,8302.9×72026-04-01
Virginia Mason Medical Center Seattle$11,1002.9×72026-01-01
Multicare Auburn Medical Center Auburn$11,3743.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$11,3742.9×82026-08-27
Multicare Covington Medical Center Covington$11,3743.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$11,3963.0×72026-04-01
Swedish Medical Center Seattle$11,6643.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$12,6003.3×62026-08-27
St Michael Medical Center Bremerton$13,4093.5×32026-02-28
Providence Centralia Hospital Centralia$15,3234.2×32026-04-01
Mary Bridge Children'S Hospital Tacoma$16,8254.3×52026-08-27

Questions

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

28 Washington hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 28 hospitals is $9,548, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.