How much does Tonsillectomy and adenoidectomy cost in Texas?

Tonsillectomy and adenoidectomy · CPT 42820 · State: Texas

In Texas, the typical insurer-negotiated price for Tonsillectomy and adenoidectomy is about $4,026, with most between $2,758 and $5,220 ($4,560 cash/self-pay). Based on 314 Texas hospitals — 11% lower than the national typical of $4,540. Hospital list charges run about $7,973 (2× higher).

Insurer-negotiated
$4,026
Texas · $2,758–$5,220
Cash / self-pay
$4,560
typical cash price
Hospital list charge
$7,973
2× the negotiated rate

Source: medians across 314 Texas hospitals' published price files (≥5 reporting). See the national Tonsillectomy and adenoidectomy cost for the full picture. Estimates vary by hospital, insurer, and plan.

Tonsillectomy and adenoidectomy cost in Texas — FAQs

How much does a Tonsillectomy and adenoidectomy cost in Texas?

In Texas, the typical insurer-negotiated price for a Tonsillectomy and adenoidectomy is about $4,026, with most between $2,758 and $5,220, based on 314 Texas hospitals. That's 11% lower than the national typical of $4,540.

How much does a Tonsillectomy and adenoidectomy cost without insurance in Texas?

Cash or self-pay prices for a Tonsillectomy and adenoidectomy in Texas run around $4,560. Hospitals often bill the higher "list" charge first (about $7,973), so ask for the cash or self-pay rate.

Why is my Texas hospital bill for a Tonsillectomy and adenoidectomy so high?

Texas hospital "list" charges for a Tonsillectomy and adenoidectomy run about $7,973 — roughly 2× the $4,026 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of a Tonsillectomy and adenoidectomy in Texas?

Yes. If a Texas hospital charged you well above the typical negotiated rate (about $4,026), that gap is negotiable. Upfronte audits your bill against real Texas hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $4,026 in Texas?

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

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