Surgery and procedures CPT 42825 Outpatient

Tonsillectomy, child cost in Pittsburgh, PA

In Pittsburgh, PA, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, child under 12: from $1,889.50 to $1,889.50, with a median of $1,889.50. Across Pennsylvania, the median is $10,574.30 at 6 hospitals.

Cash prices at 1 facility 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 — and —.

Lowest$1,889.50Uniontown Hospital
Median$1,889.50half pay less
Highest$1,889.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Uniontown Hospital Uniontown, PA · (724) 430-5000 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) $1,889.50 $3,779.00 $171.55–$13,369.17 50% —
source file

Outpatient: lowest $1,889.50, median $1,889.50, highest $1,889.50.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is 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 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.

7 rows held back from this comparison

They are 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.

Jefferson Regional Medical Center Jefferson Hills, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $144.59 file
Forbes Hospital Monroeville, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $167.42 file
Canonsburg General Hospital Canonsburg, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $167.42 file
Alle-Kiski Medical Center Natrona Heights, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $175.03 file
West Penn Hospital Pittsburgh, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $182.64 file
AHN Wexford Hospital Wexford, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $197.86 file
West Penn Hospital Pittsburgh, PAPR TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 $205.47 file