Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in New Philadelphia, OH

In New Philadelphia-Dover, OH, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $897.00 to $897.00, with a median of $897.00. Across Ohio, the median is $5,255.82 at 26 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 Jun 15, 2026 and Jun 15, 2026.

Lowest$897.00The Union Hospital Association
Median$897.00half pay less
Highest$897.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
The Union Hospital Association Dover, OH · (330) 343-3311 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $897.00 $1,380.00 $350.66–$1,380.00 35% Jun 15, 2026
source file

Outpatient: lowest $897.00, median $897.00, highest $897.00.

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.