How much does a Tonsillectomy and adenoidectomy cost?

Tonsillectomy and adenoidectomy · CPT 42820 · A tonsillectomy and adenoidectomy removes the tonsils and adenoids, often for recurrent infections or sleep problems.

The typical insurer-negotiated price for a Tonsillectomy and adenoidectomy is about $4,540, with most between $1,664 and $6,484 ($2,868 cash/self-pay). Based on published rates from 2,098 U.S. hospitals.

Insurer-negotiated
$4,540
typical · $1,664$6,484
Cash / self-pay
$2,868
typical cash price
Hospital list charge
$4,860
gross charge

Source: medians across 2,098hospitals' machine-readable price files (required by federal law since 2021). Figures are estimates and vary by hospital, region, insurer, and plan.

Tonsillectomy and adenoidectomy cost — frequently asked questions

How much does a Tonsillectomy and adenoidectomy cost with insurance?

The typical insurer-negotiated rate for a Tonsillectomy and adenoidectomy is about $4,540, with most falling between $1,664 and $6,484, based on published rates from 2,098 U.S. hospitals. What you actually pay depends on your plan's deductible and coinsurance.

How much does a Tonsillectomy and adenoidectomy cost without insurance?

Cash or self-pay prices for a Tonsillectomy and adenoidectomy run around $2,868. Uninsured patients are often billed the much higher hospital "list" charge first (about $4,860), so it's worth asking for the cash or self-pay rate and negotiating.

Can I negotiate the cost of a Tonsillectomy and adenoidectomy?

Yes. If you were charged well above the typical negotiated rate (about $4,540), that gap is negotiable. Upfronte audits your bill against real hospital pricing data and can negotiate it down on your behalf — no savings, no fee.

Were you charged more than $4,540?

Upload your bill and Upfronte will check it against real hospital pricing data and negotiate overcharges. No savings, no fee.

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Tonsillectomy and adenoidectomy cost by location

Median negotiated prices for specific states and metro areas.

Metro areas

States

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