Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Lima, OH

In Lima, OH, 2 hospitals list a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $3,433.50 to $21,756.36, with a median of $12,594.93. The lowest listed price is at Lima Memorial Health System — $9,161.43 less than the median here. Across Ohio, the median is $5,255.82 at 26 hospitals.

Cash prices at 2 facilities 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$3,433.50Lima Memorial Health System
Median$12,594.93half pay less
Highest$21,756.36in this market
Difference6.3×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 Lima, OH.

median
Lowest $3,433.50Highest $21,756.36

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Lima Memorial Health System lowest Lima, OH · (419) 998-4731 Removal Of Tonsils $3,433.50 $3,815.00 — 10% Apr 1, 2026
source file
Mercy Health St Ritas Medical Center Lima, OH · (419) 227-3361 Tonsillectomy Primary/Secondary Age 12/> $21,756.36 $36,260.60 $3,287.07 40% —
source file

Outpatient: lowest $3,433.50, median $12,594.93, highest $21,756.36 — a 6.3× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $3,433.50. 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 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.