Surgery and procedures CPT 42826 Outpatient

Tonsillectomy, age 12+ cost in Ontario, CA

In Ontario, CA, 1 hospital lists a cash price for tonsil removal (tonsillectomy) only, age 12 or older: from $1,456.00 to $1,456.00, with a median of $1,456.00. Across California, the median is $6,749.08 at 45 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$1,456.00Kaiser Foundation Hospital - Ontario
Median$1,456.00half pay less
Highest$1,456.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Kaiser Foundation Hospital - Ontario Ontario, CA TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> $1,456.00 $2,800.00 $3,217.00–$9,569.00 48% —
source file

Outpatient: lowest $1,456.00, median $1,456.00, highest $1,456.00.

As an inpatient, the same code is billed by 1 facility 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 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.