Surgery and procedures CPT 42825 Outpatient

Tonsillectomy, child cost in Buffalo, NY

In Buffalo-Cheektowaga, NY, 4 hospitals list a cash price for tonsil removal (tonsillectomy) only, child under 12: from $695.39 to $809.32, with a median of $695.39. The lowest listed price is at Mount St. Mary's Hospital and 2 other hospitals. Across New York, the median is $6,048.05 at 17 hospitals.

Cash prices at 4 facilities across 2 cities for code 42825, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Aug 25, 2026 and Aug 25, 2026.

Lowest$695.39Mount St. Mary's Hospital + 2 more
Median$695.39half pay less
Highest$809.32in 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 Buffalo-Cheektowaga, NY.

median
Lowest $695.39Highest $809.32

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mount St. Mary's Hospital lowest Lewiston, NY · (716) 297-4800 Tonsillectomy Primary/Secondary <Age 12 $695.39 $695.39 $46.21–$331.14 — —
source file
Sisters of Charity Hospital lowest Buffalo, NY · (716) 862-1000 Tonsillectomy Primary/Secondary <Age 12 $695.39 $695.39 $46.21–$331.14 — —
source file
Mercy Hospital of Buffalo lowest Buffalo, NY · (716) 826-7000 Tonsillectomy Primary/Secondary <Age 12 $695.39 $695.39 $52.81–$331.14 — —
source file
Erie County Medical Center Buffalo, NY · (716) 898-3936 REMOVAL OF TONSILS $809.32 — $1,821.70–$18,474.08 — Aug 25, 2026
source file

Outpatient: lowest $695.39, median $695.39, highest $809.32 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $695.39. 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 1 of 4 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 code covers removing the tonsils without the adenoids in a child under 12.

What the price covers

The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately.