Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Atlanta, GA

In Atlanta-Sandy Springs-Roswell, GA, 9 hospitals list a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $3,416.80 to $9,791.00, with a median of $9,791.00. The lowest listed price is at Tanner Medical Center - Carrollton — $6,374.20 less than the median here. Across Georgia, the median is $9,791.00 at 14 hospitals.

  • The median here, $9,791.00, is 129% above the US median of $4,277.65.
  • 8 of 9 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 9 facilities across 5 cities for code 42826, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Mar 24, 2026 and May 14, 2026.

Lowest$3,416.80Tanner Medical Center - Carrollton
Median$9,791.00half of hospitals charge less
Highest$9,791.00in this market
Difference2.9×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 Atlanta-Sandy Springs-Roswell, GA.

median
Lowest $3,416.80Highest $9,791.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Tanner Medical Center - Carrollton lowest Carrollton, GA · (770) 836-9580 REMOVAL OF TONSILS (12 YEARS OR OLDER) File of Mar 24, 2026 · source file $3,416.80 $8,542.00 $3,309.20–$3,640.12 60%
Children's Healthcare of Atlanta – Meridian Mark Atlanta, GA Removal of tonsils (12 years or older) File of May 14, 2026 · source file $6,631.00 $6,631.00 — —
Emory Hillandale Hospital Lithonia, GA · (404) 501-8040 Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
DeKalb Medical at Decatur Decatur, GA Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
Emory Johns Creek Hospital Johns Creek, GA · (678) 474-7000 Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
Emory Decatur Hospital Decatur, GA · (404) 501-1000 Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
Emory University Hospital Atlanta, GA · (404) 686-8500 Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
Saint Josephs Hospital of Atlanta Atlanta, GA · (678) 843-7001 Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
Emory University Hospital Midtown Atlanta, GA · (404) 686-2450 Hc Removal Of Tonsils,12+ Y/O File of Apr 1, 2026 · source file $9,791.00 $9,791.00 — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Independent clinics in Atlanta, GA

Prices published by the clinics themselves, not from a hospital price file. They are not part of the hospital median or the lowest price above.

ClinicCash price
Northwest ENT Surgery Center Surgery center · Woodstock, GA · (770) 427-0368 Tonsillectomy (adult) | 42826 — includes office consultation, in-office testing, surgeon, anesthesiologist, facility, pathology Checked Oct 1, 2026 · clinic's price page $3,430.00

Run a clinic? List your cash prices for free.

Outpatient: lowest $3,416.80, median $9,791.00, highest $9,791.00 — a 2.9× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $9,791.00. 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 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 tonsillectomy, age 12+ is, what the price covers and why prices differ: Tonsillectomy, age 12+ explained.