Tonsil and adenoid removal, 12+ cost in Rapid City, SD
In Rapid City, SD, 1 hospital lists a cash price for tonsil and adenoid removal, age 12 or older: from $2,246.12 to $2,246.12, with a median of $2,246.12.
Cash prices at 1 facility for code 42821, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Black Hills Surgical Hospital Rapid City, SD · (605) 721-4700 T&A OVER AGE 12 | $2,246.12 | $3,743.54 | $3,319.52–$3,369.19 | 40% | — source file |
Outpatient: lowest $2,246.12, median $2,246.12, highest $2,246.12.
As an inpatient, the same code is billed by 1 facility here, median $2,246.12. 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 below the highest rate a health plan has negotiated and 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.