Surgery and procedures CPT 42821 Outpatient

Tonsil and adenoid removal, 12+ cost in Rochester, NY

In Rochester, NY, 2 hospitals list a cash price for tonsil and adenoid removal, age 12 or older: from $3,935.40 to $3,935.40, with a median of $3,935.40. The lowest listed price is at Strong Memorial Hospital and 1 other hospital. Across New York, the median is $3,837.72 at 22 hospitals.

Cash prices at 2 facilities 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$3,935.40Strong Memorial Hospital + 1 more
Median$3,935.40half pay less
Highest$3,935.40in this market
Difference1.0×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 Rochester, NY.

median
Lowest $3,935.40Highest $3,935.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Strong Memorial Hospital lowest Rochester, NY · (585) 275-2121 Remove tonsils and adenoids $3,935.40 — $4,030.24–$8,197.94 — —
source file
Highland Hospital lowest Rochester, NY · (585) 341-6711 Remove tonsils and adenoids $3,935.40 — $3,927.27–$7,028.65 — —
source file

Outpatient: lowest $3,935.40, median $3,935.40, highest $3,935.40.

Cash or insurance?

At 2 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.