Surgery and procedures CPT 42821 Outpatient

Tonsil and adenoid removal, 12+ cost in Barre, VT

In Barre, VT, 1 hospital lists a cash price for tonsil and adenoid removal, age 12 or older: from $777.38 to $777.38, with a median of $777.38. Across Vermont, the median is $568.00 at 7 hospitals.

Cash prices at 1 facility for code 42821, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 28, 2026 and Apr 28, 2026.

Lowest$777.38Central Vermont Medical Center
Median$777.38half pay less
Highest$777.38in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Central Vermont Medical Center Berlin, VT PR TONSILLECTOMY & ADENOIDECTOMY AGE 12/> $777.38 $777.38 $283.28–$767.75 — Apr 28, 2026
source file

Outpatient: lowest $777.38, median $777.38, highest $777.38.

As an inpatient, the same code is billed by 1 facility here, median $777.38. 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 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 someone age 12 or older. It is done for repeated infections or for snoring and breathing problems during sleep caused by enlarged 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.