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Cash prices New York Outpatient

Tonsillectomy cost in New York without insurance

In New York, the median cash price for Tonsillectomy, age 12+ is $3,837.72 across 31 hospitals, from $756.00 to $14,004.16. The lowest is at Bronx-Lebanon Hospital Center - Concourse Division (Bronx) and 1 other hospital. The US median is $4,277.65.

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.

Tonsil and adenoid removal is one of the most common operations in children, done as same-day surgery. The code depends on age (under 12 or 12 and older) and on whether the adenoids are removed too. Ear tubes are often placed in the same visit and are billed separately.

Collected Nov 8, 2026 One price per hospital: its lowest outpatient cash price for the code

Tonsillectomy prices in New York by type

42826 is tonsil removal at age 12 or older and is used in the state table; 42825 is the same under 12; 42820 and 42821 remove tonsils and adenoids in children and in older patients; 42830 removes the adenoids only; and 69436 and 69433 are ear tube placements under general and local anesthesia.

ProcedureHospitalsRangeMedianUS median
Tonsillectomy, age 12+ Tonsil removal (tonsillectomy) only, age 12 or older · code 42826 31 $756.00–$14,004.16 $3,837.72 $4,277.65
Tonsil and adenoid removal, 12+ Tonsil and adenoid removal, age 12 or older · code 42821 30 $897.00–$12,308.54 $3,837.72 $4,243.00
Tonsillectomy, child Tonsil and adenoid removal, child under 12 · code 42820 30 $859.00–$16,411.37 $7,000.36 $5,583.39
Tonsillectomy, child Tonsil removal (tonsillectomy) only, child under 12 · code 42825 25 $793.00–$12,812.00 $7,000.36 $5,442.77
Adenoidectomy Adenoid removal (adenoidectomy), child under 12 · code 42830 29 $631.00–$14,203.00 $3,837.72 $4,141.98
Ear tubes surgery Ear tube placement (tympanostomy) under general anesthesia, one ear · code 69436 34 $471.00–$12,308.54 $1,752.89 $2,762.69
Ear tubes, local anesthesia Ear tube placement (tympanostomy) with local anesthesia, one ear · code 69433 46 $391.00–$4,881.00 $1,089.00 $741.60
Procedure The service and its billing code (CPT or HCPCS). Opens the comparison of every hospital that prices it. More
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Middle 80% Cash prices of most hospitals: a tenth of hospitals charge less than the first number (P10), a tenth charge more than the second (P90). More
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
US median The median cash price across all US hospitals that publish one for this code.

Outpatient cash prices in New York. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.

Lowest Tonsillectomy, age 12+ prices in New York

Tonsillectomy cost by metro area in New York

Tonsillectomy cost in other states

Paying cash: what to do

  • Ask for a bundled self-pay price that includes the surgeon, anesthesia, facility and follow-up visits; hospital file prices usually cover only the facility.
  • If ear tubes are placed at the same time, ask for one price for both.
  • Ambulatory surgery centers often charge much less than hospital outpatient departments.