Surgery and procedures CPT 42820 Outpatient

Tonsillectomy, child cost in Boston, MA

In Boston-Cambridge-Newton, MA-NH, 1 hospital lists a cash price for tonsil and adenoid removal, child under 12: from $5,926.07 to $5,926.07, with a median of $5,926.07. Across Massachusetts, the median is $14,601.63 at 3 hospitals.

Cash prices at 1 facility for code 42820, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between May 18, 2026 and May 18, 2026.

Lowest$5,926.07Emerson Hospital
Median$5,926.07half of hospitals charge less
Highest$5,926.07in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Emerson Hospital Concord, MA · (978) 369-1400 TONSILLECTOMY & ADENOIDECTOMY <AGE 12 File of May 18, 2026 · source file $5,926.07 $7,901.43 $309.88–$8,600.71 25%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.

Outpatient: lowest $5,926.07, median $5,926.07, highest $5,926.07.

As an inpatient, the same code is billed by 1 facility here, median $5,926.07. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is surgery to remove both the tonsils and the adenoids in a child younger than 12. It is commonly done for repeated throat infections or for snoring and breathing problems during sleep caused by large tonsils and adenoids.

What the price covers

The facility price covers the operating room and recovery. The surgeon's fee and anesthesia are usually billed separately.