Tonsillectomy, age 12+ cost in Madisonville, KY
In Madisonville, KY, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $256.62 to $256.62, with a median of $256.62. Across Kentucky, the median is $6,625.42 at 11 hospitals.
Cash prices at 1 facility 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 Feb 3, 2026 and Feb 3, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Baptist Health Deaconess Madisonville Madisonville, KY · (270) 825-5100 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $256.62 | $546.00 | $207.59–$294.48 | 53% | Feb 3, 2026 source file |
Outpatient: lowest $256.62, median $256.62, highest $256.62.
As an inpatient, the same code is billed by 1 facility here, median $256.62. 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 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.