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

Posted commercial rates at 15 Washington hospitals, each next to its own Medicare base rate.

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Swedish Edmonds Hospital Edmonds$7,2772.0×52026-04-01
Swedish Issaquah Issaquah$8,4722.2×52026-04-01
St Anne Hospital Burien$9,7632.5×52026-02-28
Overlake Hospital Medical Center Bellevue$9,8932.6×52026-04-01
St Clare Hospital Lakewood$9,9492.6×62026-02-28
St Joseph Medical Center Tacoma$9,9492.6×62026-02-28
St Francis Community Hospital Federal Way$9,9492.6×62026-02-28
St Anthony Hospital Gig Harbor$10,1252.6×62026-02-28
Legacy Salmon Creek Medical Center Vancouver$11,2613.0×52026-04-01
Swedish Medical Center / Cherry Hill Seattle$11,3963.0×52026-04-01
Swedish Medical Center Seattle$11,5043.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$13,1723.4×52026-08-27
Multicare Auburn Medical Center Auburn$13,1723.4×52026-08-27
Multicare Covington Medical Center Covington$13,1723.4×52026-08-27
Multicare Good Samaritan Hospital Puyallup$14,1513.7×42026-08-27

Questions

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

15 Washington hospitals post usable commercial rates for tonsillectomy (age 12+) in their federal price-transparency files. For CPT 42826, hospital outpatient, the median across 15 hospitals is $10,125, 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.