Surgery and procedures CPT 42821 Outpatient

Tonsil and adenoid removal, 12+ cost in Caro, MI

In Caro, MI, 1 hospital lists a cash price for tonsil and adenoid removal, age 12 or older: from $859.50 to $859.50, with a median of $859.50. Across Michigan, the median is $859.50 at 20 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 Dec 31, 2025 and Dec 31, 2025.

Lowest$859.50McLaren Caro Region
Median$859.50half pay less
Highest$859.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
McLaren Caro Region Caro, MI · (989) 673-3141 SP Removal tonsils and adenoids, age 12 or over 42821 $859.50 $1,718.90 $197.45–$493.72 50% Dec 31, 2025
source file

Outpatient: lowest $859.50, median $859.50, highest $859.50.

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.