Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Berlin, WI

In Berlin, WI, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $1,674.12 to $1,674.12, with a median of $1,674.12. Across Wisconsin, the median is $1,359.15 at 27 hospitals.

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$1,674.12ThedaCare Regional Medical Center-Berlin
Median$1,674.12half pay less
Highest$1,674.12in this market
Difference1.0×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 Berlin, WI.

median
Lowest $1,674.12Highest $4,941.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
ThedaCare Regional Medical Center-Berlin lowest Berlin, WI · (920) 361-1313 REMOVAL OF TONSILS,12+ Y/O $1,674.12 $2,989.50 $807.17–$2,469.33 44% —
source file
ThedaCare Regional Medical Center-Berlin Berlin, WI · (920) 361-1313 HC Removal of Tonsils,12+ Y/O $4,797.58 $8,567.10 $2,313.12–$7,288.71 44% —
source file
ThedaCare Regional Medical Center-Berlin Berlin, WI · (920) 361-1313 HC REMOVAL OF TONSILS,12+ Y/O $4,941.50 $8,824.10 $2,313.12–$7,288.71 44% —
source file

Outpatient: lowest $1,674.12, median $1,674.12, highest $1,674.12.

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.