Surgery and procedures CPT 42825 Inpatient — admitted to hospital

Tonsillectomy, child cost in New York, NY — inpatient

In New York-Newark-Jersey City, NY-NJ, 3 hospitals list a cash price for tonsil removal (tonsillectomy) only, child under 12 as an inpatient: from $317.15 to $6,547.81, with a median of $790.00. The lowest listed price is at St. Barnabas Hospital — $472.85 less than the median here. Across New York, the median is $6,048.05 at 17 hospitals.

Cash prices at 3 facilities across 3 cities for code 42825, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Apr 1, 2026.

Lowest$317.15St. Barnabas Hospital
Median$790.00half pay less
Highest$6,547.81in this market
Difference20.6×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $317.15Highest $6,547.81

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Barnabas Hospital lowest Bronx, NY · (212) 960-9000 PR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $317.15 $1,164.38 $221.10–$710.68 73% Feb 27, 2026
source file
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 REMOVAL OF TONSILS $790.00 $790.00 — — Apr 1, 2026
source file
Hmh Hospitals Neptune City, NJ TONSILLECTOMY ONE-HALF <AGE 12 $6,547.81 $10,303.00 $1,710.30–$10,303.00 36% Dec 31, 2025
source file

Inpatient: lowest $317.15, median $790.00, highest $6,547.81 — a 20.6× difference within the same market.

As an outpatient, the same code is billed by 25 facilities here, median $6,553.49 — that is the price to compare if you are not being admitted.

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 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 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.