Surgery and procedures CPT 42820 Outpatient

Tonsillectomy, child cost in Grand Rapids, MI

In Grand Rapids-Wyoming-Kentwood, MI, 1 hospital lists a cash price for tonsil and adenoid removal, child under 12: from $12,580.15 to $12,580.15, with a median of $12,580.15. Across Michigan, the median is $865.90 at 28 hospitals.

Cash prices at 1 facility for code 42820, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$12,580.15Mercy Health Saint Marys
Median$12,580.15half pay less
Highest$12,580.15in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Health Saint Marys Grand Rapids, MI · (616) 685-5000 PR Tonsillectomy & Adenoidectomy Younger Than Age 12 $12,580.15 — $625.04–$11,112.54 — Mar 31, 2026
source file

Outpatient: lowest $12,580.15, median $12,580.15, highest $12,580.15.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 42820 ($2,977.27). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

University of Michigan Health-Sparrow Carson Carson City, MIPR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $296.00 file
University of Michigan Health-Sparrow Ionia Ionia, MIPR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $296.00 file