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Tonsillectomy (age 12+) in West Virginia: what insurers pay

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

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CPT 42826

HospitalMedian across insurers× MedicareInsurersFile date
Mon Health Medical Center Morgantown$2,7080.8×12026-04-10
Cabell Huntington Hospital, Inc Huntington$3,6001.1×12026-01-01
Wheeling Hospital, Inc Wheeling$4,5831.4×42026-07-09
Reynolds Memorial Hospital, Inc Glen Dale$5,5381.7×12026-07-09
Camden Clark Medical Center Parkersburg$5,5381.7×12026-07-09
Berkeley Medical Center Martinsburg$5,5841.8×12026-07-09
Thomas Memorial Hospital South Charleston$10,7783.4×22026-07-10
St Mary'S Medical Center Huntington$13,1304.1×22026-01-01
Logan Regional Medical Center Logan$22,0726.9×12026-04-01

Questions

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

9 West Virginia 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 $5,538, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.