Surgery · CPT 42820
Tonsils and adenoids removal (under age 12) costs $855 to $22,972 cash at US hospitals.
24 hospitals publish a cash price for CPT 42820. The median is $7,000, and the most expensive hospital lists 27× the cheapest. Below, the same comparison by metro area.
$855
lowest cash price in the US
$7,000
median cash price
$552
median negotiated rate (36 hospitals)
$5,950
median list price (gross charge)
By metro area
lowest · median · highest cash priceLowest published cash prices
1
What the number is
The hospital's discounted cash price for CPT 42820, facility part. Physician and anesthesia usually bill separately.
2
Cash vs. insured
With insurance you pay a share of the negotiated rate, which can be higher than the cash price. You may ask for the cash price instead.
3
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."