Tonsillectomy (under age 12) at Sentara CarePlex Hospital

3000 Coliseum Drive, Hampton, VA 23666|11803 Jefferson Avenue, Newport News, VA 23606. From the hospital's federally required price file (v3.0.0), file date April 1, 2026 — source file. Last verified by PriceCheck: July 19, 2026. CPT 42820.

$13,355

Median commercial

Median commercial rate here: $13,355 — 6% above the Hampton Roads, VA metro median of $12,599. Compare all Hampton Roads, VA hospitals →

Commercial insurance plans

Payer / plan	Facility rate	Rate type
UnitedhealthcareAll Commercial Plans	$12,599	negotiated rate
UnitedhealthcareOptions PPO	$14,111	negotiated rate

Medicare plans

Payer / plan	Facility rate	Rate type
Sentara Health PlanMedicare Managed Care Plan	$5,891	negotiated rate
HumanaMedicare Managed Care Plan	$5,949	negotiated rate
UnitedhealthcareDsnp Medicare Managed Care Plan	$6,065	negotiated rate

What these numbers are — and aren't. These are facility rates hospitals publish under the CMS Hospital Price Transparency rule (45 CFR Part 180). They are price information, not a quote or guarantee. Physician, anesthesia, radiology, and pathology services usually bill separately. Your actual cost depends on your insurance plan, deductible, and how the visit is coded. How we read hospital price files →

Common questions

What do insurance plans pay for tonsillectomy (under age 12) at Sentara CarePlex Hospital?

Sentara CarePlex Hospital lists 2 commercial plan rates for Tonsillectomy (under age 12), from $12,599 (Unitedhealthcare) to $14,111 (Unitedhealthcare), with a median of $13,355. 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 Sentara CarePlex Hospital publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date April 1, 2026. These are price disclosures, not quotes.

Same procedure at nearby hospitals: Sentara Princess Anne Hospital · Riverside Regional Medical Center · Children's Hospital of the King's Daughters · Sentara Obici Hospital · Sentara Norfolk General Hospital · Sentara Williamsburg Regional Medical Center