Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Bay City, MI

In Bay City, MI, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $751.40 to $751.40, with a median of $751.40. Across Michigan, the median is $751.40 at 22 hospitals.

Cash prices at 1 facility for code 42826, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Dec 31, 2025.

Lowest$751.40McLaren Bay Region
Median$751.40half pay less
Highest$751.40in this market
Difference1.0×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 Bay City, MI.

median
Lowest $751.40Highest $3,944.05

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
McLaren Bay Region lowest Bay City, MI · (989) 894-9510 SP Tonsillectomy, primary or secondary, age 12 or over 42826 $751.40 $1,502.70 $166.57–$416.49 50% Dec 31, 2025
source file
McLaren Bay Region Bay City, MI · (989) 894-9510 REMOVAL OF TONSILS $3,944.05 $7,888.09 $1,773.96–$5,060.64 50% Dec 31, 2025
source file

Outpatient: lowest $751.40, median $751.40, highest $751.40.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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 is surgery to remove the tonsils, without the adenoids, in someone age 12 or older. It is done for repeated throat infections, large tonsils that block breathing during sleep, or other tonsil problems.

What the price covers

The facility price covers the operating room and recovery. The surgeon's fee and anesthesia are usually billed separately.