Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Providence, RI

In Providence-Warwick, RI-MA, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $2,372.63 to $2,372.63, with a median of $2,372.63.

Cash prices at 1 facility for code 42826, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$2,372.63South County Health
Median$2,372.63half pay less
Highest$2,372.63in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
South County Health Wakefield, RI · (401) 782-8000 Tonsillectomy, primary or secondary; age 12 or over $2,372.63 $3,954.38 $3,275.77 40% —
source file

Outpatient: lowest $2,372.63, median $2,372.63, highest $2,372.63.

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 and 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.