Surgery and procedures CPT 42826 Inpatient — admitted to hospital

Tonsillectomy, age 12+ cost in New York, NY — inpatient

In New York-Newark-Jersey City, NY-NJ, 7 hospitals list a cash price for tonsil removal (tonsillectomy) only, age 12 or older as an inpatient: from $302.09 to $3,589.62, with a median of $1,785.00. The lowest listed price is at St. Barnabas Hospital — $1,482.91 less than the median here. Across New York, the median is $3,387.27 at 26 hospitals.

Cash prices at 7 facilities across 7 cities for code 42826, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 1, 2025 and Apr 1, 2026.

Lowest$302.09St. Barnabas Hospital
Median$1,785.00half pay less
Highest$3,589.62in this market
Difference11.9×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $302.09Highest $3,589.62

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Barnabas Hospital lowest Bronx, NY · (212) 960-9000 PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $302.09 $1,109.40 $209.98–$674.93 73% Feb 27, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 REMOVAL OF TONSILS. $750.00 $750.00 — — Apr 1, 2026
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ Tonsillectomy Primary/Secondary Age 12/> $1,785.00 $1,785.00 $291.59–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ Tonsillectomy Primary/Secondary Age 12/>|MULTIPLE PROCEDURES $1,785.00 $1,785.00 $291.59–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY Tonsillectomy Primary/Secondary Age 12/> $1,785.00 $1,785.00 $122.66–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY Tonsillectomy Primary/Secondary Age 12/>|MULTIPLE PROCEDURES $1,785.00 $1,785.00 $122.66–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ Tonsillectomy Primary/Secondary Age 12/> $1,785.00 $1,785.00 $291.59–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ Tonsillectomy Primary/Secondary Age 12/>|MULTIPLE PROCEDURES $1,785.00 $1,785.00 $291.59–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases New York, NY Tonsillectomy Primary/Secondary Age 12/> $1,785.00 $1,785.00 $122.66–$1,648.01 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases New York, NY Tonsillectomy Primary/Secondary Age 12/>|MULTIPLE PROCEDURES $1,785.00 $1,785.00 $122.66–$1,648.01 — Dec 1, 2025
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Hmh Hospitals Neptune City, NJ TONSILLECTOMY ONE-HALF AGE 12/> $3,589.62 $7,186.00 $1,192.88–$7,186.00 50% Dec 31, 2025
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Inpatient: lowest $302.09, median $1,785.00, highest $3,589.62 — a 11.9× difference within the same market.

As an outpatient, the same code is billed by 34 facilities here, median $3,592.74 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 6 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.