Surgery and procedures CPT 42826 Inpatient — admitted to hospital

Tonsillectomy, age 12+ cost in Charleston, WV — inpatient

In Charleston, WV, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older as an inpatient: from $4,081.50 to $4,081.50, with a median of $4,081.50. Across West Virginia, the median is $4,002.00 at 11 hospitals.

Cash prices at 1 facility for code 42826, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$4,081.50Boone Memorial Hospital
Median$4,081.50half pay less
Highest$4,081.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boone Memorial Hospital Madison, WV · (304) 369-1230 TONSILLECTOMY PRIM OR SECOND 12 OR OVER $4,081.50 $8,163.00 $220.36–$7,754.85 50% —
source file

Inpatient: lowest $4,081.50, median $4,081.50, highest $4,081.50.

As an outpatient, the same code is billed by 2 facilities here, median $4,876.25 — that is the price to compare if you are not being admitted.

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 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.