Surgery and procedures CPT 42820 Outpatient

Tonsil and adenoid removal, child under 12 in Madison, WI

In Madison, WI, 2 hospitals list a cash price for Tonsil and adenoid removal, child under 12: from $1,285.60 to $1,547.65, with a median of $1,416.63. The lowest listed price is at Meriter Hospital, Inc.

Cash prices at 2 facilities across 2 cities for code 42820, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.

Lowest$1,285.60Meriter Hospital, Inc
Median$1,416.63half pay less
Highest$1,547.65in this market
Difference1.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Madison, WI.

median
Lowest $1,285.60Highest $1,547.65

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Meriter Hospital, Inc lowest Madison, WI REMOVE TONSILS/ADENOIDS,<12 Y/O $1,285.60 $1,607.00 20% Jan 28, 2026
source file
Aspirus Divine Savior Hospital Portage, WI TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $1,547.65 $2,381.00 35% Apr 1, 2026
source file

Outpatient: lowest $1,285.60, median $1,416.63, highest $1,547.65 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $1,416.63. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.