Tonsillectomy, age 12+ cost in Lexington, KY
In Lexington-Fayette, KY, 3 hospitals list a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $6,625.42 to $7,674.14, with a median of $7,132.37. The lowest listed price is at Clark Regional Medical Center — $506.95 less than the median here. Across Kentucky, the median is $6,878.90 at 10 hospitals.
Cash prices at 3 facilities across 3 cities for code 42826, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Lexington-Fayette, KY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Clark Regional Medical Center lowest Winchester, KY · (859) 737-8559 Tonsillectomy, primary or secondary; age 12 or over | $6,625.42 | $16,563.56 | $9,325.00 | 60% | — source file |
| Bourbon Community Hospital Paris, KY · (859) 987-3600 Tonsillectomy, primary or secondary; age 12 or over | $7,132.37 | $17,830.93 | $7,858.00 | 60% | — source file |
| Georgetown Community Hospital Georgetown, KY · (502) 868-1100 Tonsillectomy, primary or secondary; age 12 or over | $7,674.14 | $19,185.34 | $6,805.00 | 60% | — source file |
Outpatient: lowest $6,625.42, median $7,132.37, highest $7,674.14 — a 1.2× difference within the same market.
Cash or insurance?
At 2 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is 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 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.