Tonsils and adenoids removal (under age 12) in Cleveland, OH costs $727 to $6,704. Here's every hospital's price.
3 hospitals in the Cleveland, OH metro area publish a cash price for tonsils and adenoids removal (under age 12) (CPT 42820). We read their files every month so you don't have to.
Across the Cleveland, OH metro area, 3 hospitals list a cash price for tonsils and adenoids removal (under age 12) (CPT 42820). The lowest is $727 at Metrohealth System, the median is $1,097 and the highest is $6,704 at Mercy Regional Medical Center. The most expensive hospital lists 9.2 times the cheapest for the same code.
The Cleveland, OH median of $1,097 is 75% below the national median of $4,321 across 447 US hospitals with a cash price for this code.
13 of these hospitals also publish the rates they negotiated with insurers, from $1 to $22,273. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.
The files behind these prices are dated between April 2026 and September 2026. 15 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.
Sorted by cash price
Hospital facility fee onlyCleveland · 20 mi · File Apr 2026
Cleveland · 15 mi · File Jun 2026
Lorain · 45 mi · File Apr 2026
Warrensville Heights · 16 mi · File Jun 2026
What's in the price
The hospital facility fee for CPT 42820. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 42820, in writing, and whether it covers facility, physician and anesthesia."
About tonsils and adenoids removal (under age 12)
CPT 42820 is removal of the tonsils and adenoids in a child under 12, done for repeated throat infections or, more often today, for sleep-disordered breathing. It is an outpatient operation under general anesthesia, about 30 to 45 minutes, with one to two weeks of sore throat afterward.
What the price covers
The hospital's price is the facility fee for the operating room, anesthesia equipment, nursing, supplies and recovery. The ENT surgeon and the anesthesiologist bill separately. Children with sleep apnea or under three are sometimes kept overnight, which adds an observation charge.
Why prices vary
Children's hospitals and academic centers list the highest prices for this operation; community hospitals and ambulatory surgery centers list lower. The spread within a metro area is commonly three to five times for the facility fee alone.
Questions to ask
- What is the self-pay price for 42820, and what do surgeon and anesthesia add?
- Will my child need to stay overnight, and what does that cost?
- Can it be done at an ambulatory surgery center?
Hospitals in Cleveland, OH without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Ashtabula County Medical CenterWebsite blocks automated reading
- Lake HealthFile could not be read
- Lake Health Beachwood Medical CenterFile could not be read
- Lodi Community HospitalNo website on record
- Mercy Allen Hospitalcode not in file
- Parma Community General HospitalFile could not be read
- Rainbow Babies and Childrens HospitalFile could not be read
- Southwest General Health CenterWebsite blocks automated reading
- Uh Cleveland Medical CenterNo website on record
- Uh Regional HospitalsFile could not be read
- Uh St John Medical CenterFile could not be read
- Uhhs Memorial Hospital of GenevaNo website on record
- University Hospitals - Elyria Medical CenterFile could not be read
- University Hospitals Ahuja Medical CenterFile could not be read
- University Hospitals Conneaut Medical CenterFile could not be read