Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in San Diego, CA

In San Diego-Chula Vista-Carlsbad, CA, 4 hospitals list a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $1,456.00 to $17,275.40, with a median of $1,456.00. The lowest listed price is at Kaiser Foundation Hospital - San Diego - Clairemont Mesa and 2 other hospitals. Across California, the median is $6,749.08 at 45 hospitals.

Cash prices at 4 facilities across 2 cities 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$1,456.00Kaiser Foundation Hospital - San Diego - Clairemont Mesa + 2 more
Median$1,456.00half pay less
Highest$17,275.40in 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 San Diego-Chula Vista-Carlsbad, CA.

median
Lowest $1,456.00Highest $17,275.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - San Diego - Clairemont Mesa lowest San Diego, CA TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $1,456.00 $2,800.00 $3,217.00–$9,569.00 48% —
source file
Kaiser Foundation Hospital - San Marcos lowest San Marcos, CA · (760) 528-6295 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $1,456.00 $2,800.00 $3,217.00–$9,569.00 48% —
source file
Kaiser Foundation Hospital - San Diego - Zion lowest San Diego, CA · (619) 528-5000 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $1,456.00 $2,800.00 $3,217.00–$9,569.00 48% —
source file
UC San Diego Medical Center San Diego, CA · (619) 543-6222 Removal of tonsils patient age 12 or over $17,275.40 $31,409.81 $50.00–$14,671.72 45% Apr 1, 2026
source file

Outpatient: lowest $1,456.00, median $1,456.00, highest $17,275.40 — a 11.9× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $1,456.00. 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 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.