Surgery and procedures CPT 42820 Outpatient

Tonsillectomy, child cost in Fairmont, WV

In Fairmont, WV, 1 hospital lists a cash price for tonsil and adenoid removal, child under 12: from $306.94 to $306.94, with a median of $306.94. Across West Virginia, the median is $3,626.00 at 13 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 Apr 21, 2026 and Apr 21, 2026.

Lowest$306.94Marion Neighborhood Hospital
Median$306.94half pay less
Highest$306.94in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Marion Neighborhood Hospital White Hall, WV · (304) 333-1150 42820- T & A < 12 yrs $306.94 $613.87 $85.94–$24,770.90 50% Apr 21, 2026
source file

Outpatient: lowest $306.94, median $306.94, highest $306.94.

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.