Surgery and procedures CPT 42825 Outpatient

Tonsillectomy, child cost in Fort Wayne, IN

In Fort Wayne, IN, 3 hospitals list a cash price for tonsil removal (tonsillectomy) only, child under 12: from $275.67 to $306.30, with a median of $275.67. The lowest listed price is at Dupont Hospital and 1 other hospital. Across Indiana, the median is $336.70 at 10 hospitals.

Cash prices at 3 facilities 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$275.67Dupont Hospital + 1 more
Median$275.67half pay less
Highest$306.30in this market
Difference1.1×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 Fort Wayne, IN.

median
Lowest $275.67Highest $8,551.66

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Dupont Hospital lowest Fort Wayne, IN · (260) 416-3000 42825 REMOVAL OF TONSILS $275.67 $1,021.00 $5,546.73–$25,739.04 73% Apr 1, 2026
source file
Lutheran Musculoskeletal Center lowest Fort Wayne, IN 42825 REMOVAL OF TONSILS $275.67 $1,021.00 $5,546.73–$25,739.04 73% Apr 1, 2026
source file
Lutheran Hospital of Indiana Fort Wayne, IN · (260) 435-7001 42825 REMOVAL OF TONSILS $306.30 $1,021.00 $226.99–$918.90 70% Apr 1, 2026
source file
Lutheran Hospital of Indiana Fort Wayne, IN · (260) 435-7001 REMOVAL OF TONSILS $7,979.24 $26,597.48 $226.99–$23,937.73 70% Apr 1, 2026
source file
Dupont Hospital Fort Wayne, IN · (260) 416-3000 REMOVAL OF TONSILS $8,551.66 $31,672.83 $247.09–$28,505.55 73% Apr 1, 2026
source file

Outpatient: lowest $275.67, median $275.67, highest $306.30 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $413.51. 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 3 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 2 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 42825 ($2,688.50). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Bluffton Regional Medical Center Bluffton, IN42825 REMOVAL OF TONSILS $245.04 file