Tonsillectomy (under age 12) at Riverside Regional Medical Center
500 J. Clyde Morris Boulevard, Newport News, Virginia 23601. From the hospital's federally required price file (v3.0.0), file date January 2, 2026 — source file. Last verified by PriceCheck: July 19, 2026. CPT 42820.
Median commercial rate here: $7,069 — 44% below the Hampton Roads, VA metro median of $12,599. Compare all Hampton Roads, VA hospitals →
Commercial insurance plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| Humana MilitaryTricare | $3,653 | negotiated rate |
| Johns Hopkins Health PlanTricare | $3,971 | negotiated rate |
| AetnaAll Commerical Products | $5,087 | negotiated rate |
| United HealthcareNon-Options Products | $9,050 | negotiated rate |
| AnthemHMO Products | $14,644 | negotiated rate |
| AnthemPPO Products | $16,903 | negotiated rate |
Medicare plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| United HealthcareMedicare Advantage | $4,460 | negotiated rate |
| AetnaMedicare Advantage | $4,504 | negotiated rate |
| AnthemMedicare Advantage | $4,504 | negotiated rate |
| HumanaMedicare Advantage | $4,504 | negotiated rate |
| Sentara Health PlansMedicare Advantage | $4,591 | negotiated rate |
Medicaid plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AetnaManaged Medicaid | $2,915 | negotiated rate |
| AnthemManaged Medicaid | $2,915 | negotiated rate |
| United HealthcareManaged Medicaid | $2,915 | negotiated rate |
| Sentara Health PlansManaged Medicaid | $2,989 | negotiated rate |
| HumanaManaged Medicaid | $3,061 | negotiated rate |
Common questions
What do insurance plans pay for tonsillectomy (under age 12) at Riverside Regional Medical Center?
Riverside Regional Medical Center lists 6 commercial plan rates for Tonsillectomy (under age 12), from $3,653 (Humana Military) to $16,903 (Anthem), with a median of $7,069. The Hampton Roads, VA metro median commercial rate for this procedure is $12,599.
Where do these prices come from?
Directly from the machine-readable file Riverside Regional Medical Center publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date January 2, 2026. These are price disclosures, not quotes.
Same procedure at nearby hospitals: Sentara Princess Anne Hospital · Children's Hospital of the King's Daughters · Sentara CarePlex Hospital · Sentara Obici Hospital · Sentara Norfolk General Hospital · Sentara Williamsburg Regional Medical Center