Hospital Price Lookup

Tonsillectomy: cost by metro

Surgery & procedures · outpatient (same-day) · billed as CPT 42820 / 42821 / 42825 / 42826 · priced across 25 metros

What does a Tonsillectomy cost? Across 25 major U.S. metros, the typical insurer-negotiated price for a Tonsillectomy (CPT 42820 / 42821 / 42825 / 42826) ranges from about $307 to $14,111 by metro, based on hospitals' own price-transparency files. Self-pay cash prices, where hospitals publish them, are often lower. Pick your metro for the local range and a hospital-by-hospital breakdown. These are price references from public data — not a quote, a bill, or medical or financial advice.

Tonsillectomy price by metro

The typical insurer-negotiated price for a Tonsillectomy, by metro — lowest first. Open a metro for the full three-level breakdown and every hospital.

Metro Typical negotiated Range Cash
Detroit, MI $307 $11–$4,851 —
Indianapolis, IN $1,032 $1,032–$3,122 —
Phoenix, AZ $2,410 $1,984–$4,098 —
Cincinnati, OH $3,287 $3,231–$5,769 $13,356
Nashville, TN $3,824 $2,314–$3,981 —
Houston, TX $3,895 $3,726–$4,052 —
Austin, TX $4,094 $2,689–$10,200 —
Cleveland, OH $4,369 $228–$4,369 —
St. Louis, MO $4,452 $3,258–$5,814 $5,985
Milwaukee, WI $4,536 $990–$8,295 —
Philadelphia, PA $4,726 $2,633–$6,002 —
Tampa, FL $5,063 $3,670–$5,286 —
Dallas, TX $5,533 $263–$14,713 —
Kansas City, MO $5,814 $627–$9,248 —
Sacramento, CA $5,815 $5,815 $10,357
San Francisco, CA $5,815 $5,815 $10,357
San Jose, CA $5,815 $1,966–$7,541 —
New York, NY $6,156 $3,912–$7,037 $9,188
Riverside, CA $6,290 $186–$7,189 —
Denver, CO $6,681 $276–$6,719 —
Memphis, TN $6,752 $6,752 —
Hartford, CT $7,680 $7,072–$7,680 —
Seattle, WA $8,434 $326–$9,979 —
Chicago, IL $8,980 $8,980 —
Virginia Beach, VA $14,111 $6,448–$14,111 —

Source: hospitals' own machine-readable Standard Charges files, published under the U.S. Hospital Price Transparency rule (45 CFR §180.50). Most recent hospital file in this dataset: July 2026. Prices are references, not quotes or bills, and never medical or financial advice — where a hospital reports no price, nothing is shown rather than a guess.

About Tonsillectomy pricing

A Tonsillectomy is billed as CPT 42820 / 42821 / 42825 / 42826 and is usually a outpatient (same-day) service. Prices vary widely by metro and by hospital, which is why every figure here is tied to a specific hospital's own published file. 5 of these 25 metros have at least one hospital publishing a self-pay cash price.

The chargemaster (list) price is the hospital's undiscounted sticker rate. Almost no one actually pays it — insurers negotiate it down and self-pay patients are usually offered the cash price — but it shows how large the discount off list can be.

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