Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Pittsburgh, PA

In Pittsburgh, PA, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $1,921.00 to $1,921.00, with a median of $1,921.00. Across Pennsylvania, the median is $5,036.01 at 9 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 — and —.

Lowest$1,921.00Uniontown Hospital
Median$1,921.00half pay less
Highest$1,921.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Uniontown Hospital Uniontown, PA · (724) 430-5000 REMOVAL OF TONSILS (12 YEARS OR OLDER) $1,921.00 $3,842.00 $171.55–$7,487.55 50% —
source file

Outpatient: lowest $1,921.00, median $1,921.00, highest $1,921.00.

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.

7 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 42826 ($2,735.53). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Jefferson Regional Medical Center Jefferson Hills, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $137.56 file
Forbes Hospital Monroeville, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $159.28 file
Canonsburg General Hospital Canonsburg, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $159.28 file
Alle-Kiski Medical Center Natrona Heights, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $166.52 file
West Penn Hospital Pittsburgh, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $173.76 file
AHN Wexford Hospital Wexford, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $188.24 file
West Penn Hospital Pittsburgh, PAPR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $195.48 file