Surgery and procedures CPT 42821 Inpatient — admitted to hospital

Tonsil and adenoid removal, 12+ cost in Clinton, IA — inpatient

In Clinton, IA, 2 hospitals list a cash price for tonsil and adenoid removal, age 12 or older as an inpatient: from $597.60 to $1,126.00, with a median of $861.80. The lowest listed price is at MercyOne Genesis DeWitt Medical Center — $264.20 less than the median here. Across Iowa, the median is $746.40 at 17 hospitals.

Cash prices at 2 facilities across 2 cities for code 42821, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$597.60MercyOne Genesis DeWitt Medical Center
Median$861.80half pay less
Highest$1,126.00in this market
Difference1.9×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 Clinton, IA.

median
Lowest $597.60Highest $1,126.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 T & A/12 yrs or > 42821 $597.60 $996.00 $928.00–$2,679.00 40% Mar 31, 2026
source file
MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 PR Tonsillectomy & Adenoidectomy Age 12 or Over $1,126.00 $1,126.00 $86.80–$1,126.00 — Mar 31, 2026
source file

Inpatient: lowest $597.60, median $861.80, highest $1,126.00 — a 1.9× difference within the same market.

As an outpatient, the same code is billed by 1 facility here, median $17,058.85 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. 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.