Surgery and procedures CPT 42821 Outpatient

Tonsil and adenoid removal, 12+ cost in Richmond, VA

In Richmond, VA, 3 hospitals list a cash price for tonsil and adenoid removal, age 12 or older: from $11,981.31 to $14,098.67, with a median of $12,106.66. The lowest listed price is at Bon Secours Southside Medical Center — $125.35 less than the median here. Across Virginia, the median is $12,043.99 at 4 hospitals.

Cash prices at 3 facilities across 3 cities 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 — and —.

Lowest$11,981.31Bon Secours Southside Medical Center
Median$12,106.66half pay less
Highest$14,098.67in 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 Richmond, VA.

median
Lowest $11,981.31Highest $14,098.67

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bon Secours Southside Medical Center lowest Petersburg, VA · (804) 765-5000 Tonsillectomy & Adenoidectomy Age 12/> $11,981.31 $19,968.85 $3,234.84–$3,299.54 40% —
source file
Bon Secours St Marys Hospital of Richmond Richmond, VA · (804) 285-2011 Tonsillectomy & Adenoidectomy Age 12/> $12,106.66 $20,177.77 $3,326.30 40% —
source file
Bon Secours St Francis Medical Center Midlothian, VA · (804) 594-7400 Tonsillectomy & Adenoidectomy Age 12/> $14,098.67 $23,497.78 $3,234.84–$3,299.54 40% —
source file

Outpatient: lowest $11,981.31, median $12,106.66, highest $14,098.67 — a 1.2× difference within the same market.

Cash or insurance?

At 0 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.