Surgery and procedures CPT 42820 Ohio Outpatient

Tonsillectomy, child cost in Ohio

In Ohio, 17 hospitals publish a cash price for tonsil and adenoid removal, child under 12: from $529.60 to $18,331.48, with a median of $8,397.85. The lowest price is at Knox Community Hospital (Mount Vernon). The highest price is 34.6× the lowest.

  • The median here, $8,397.85, is 50% above the US median of $5,589.78.
  • Ohio ranks 26th of 31 states by median, cheapest first.
  • 1 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 42820. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$529.60Knox Community Hospital
Median$8,397.85half of hospitals charge less
Highest$18,331.48in Ohio
Lowest saves$7,868.25vs the median

Hospitals in Ohio, cheapest first

HospitalCash priceList priceFile date
Knox Community Hospital lowest Mount Vernon · Mount Vernon, OH Remove Tonsils And Adenoids Less 12 Yrs $529.60 $662.00 Apr 1, 2026
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Dayton Childrens Hospital Dayton · Dayton-Kettering-Beavercreek, OH REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $3,036.28 $4,337.54 Mar 2, 2026
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Pomerene Hospital Millersburg · Millersburg, OH TONSILLECTOMY AND ADENOIDECTOMY LESS THAN AGE 12 $4,929.89 $6,162.36 Mar 24, 2026
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Surgical Hospital at Southwoods Youngstown · Youngstown-Warren, OH "Tonsillectomy and adenoidectomy; younger than age 12" $5,069.94 $10,139.88 Feb 17, 2026
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East Liverpool City Hospital East Liverpool · Salem, OH Remove tonsils and adenoids - 42820 - OR36042820 $5,573.00 $3,156.17 Sep 1, 2026
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Lima Memorial Health System Lima · Lima, OH Remove Tonsils And Adenoids $6,382.80 $7,092.00 Apr 1, 2026
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Mercy Health Regional Medical Center Lorain · Cleveland, OH Tonsillectomy & Adenoidectomy <Age 12 $6,703.56 $11,172.60 Apr 1, 2026
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Wyandot Memorial Hospital Upper Sandusky · Upper Sandusky, OH WMHC REMOVE TONSILS/ADENOIDS,<12 Y/O $8,342.06 $9,268.95 Dec 31, 2024
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Genesis Hospital Zanesville · Zanesville, OH Tonsillectomy & Adenoidectomy <Age 12 $8,397.85 $13,996.42 Mar 27, 2026
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Avita Ontario Hospital Ontario · Mansfield, OH Remove tonsils and adenoids $9,789.17 $11,516.67 Mar 23, 2026
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Bucyrus Community Hospital Bucyrus · Bucyrus, OH Remove tonsils and adenoids $9,789.17 $11,516.67 Mar 23, 2026
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Galion Community Hospital Galion · Columbus, OH Remove tonsils and adenoids $9,789.17 $11,516.67 Mar 20, 2026
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Hmhp St Elizabeth Boardman Health Center Youngstown · Youngstown-Warren, OH Tonsillectomy & Adenoidectomy <Age 12 $11,377.70 $18,962.83 Apr 1, 2026
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Mh St Joseph Warren Hospital Warren · Youngstown-Warren, OH Tonsillectomy & Adenoidectomy <Age 12 $12,168.10 $20,280.17 Apr 1, 2026
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Mercy Health Anderson Hospital Cincinnati · Cincinnati, OH-KY-IN Tonsillectomy & Adenoidectomy <Age 12 $13,330.26 $22,217.10 Apr 1, 2026
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Mercy St Anne Hospital Toledo · Toledo, OH Tonsillectomy & Adenoidectomy <Age 12 $17,919.19 $29,865.32 Apr 1, 2026
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Mercy Health St Ritas Medical Center Lima · Lima, OH Tonsillectomy & Adenoidectomy <Age 12 $18,331.48 $30,552.47 Apr 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Youngstown-Warren, OH 3 $5,069.94 $11,377.70
Lima, OH 2 $6,382.80 $12,357.14
Bucyrus, OH 1 $9,789.17 $9,789.17
Cincinnati, OH-KY-IN 1 $13,330.26 $13,330.26
Cleveland, OH 1 $6,703.56 $6,703.56
Columbus, OH 1 $9,789.17 $9,789.17
Dayton-Kettering-Beavercreek, OH 1 $3,036.28 $3,036.28
Millersburg, OH 1 $4,929.89 $4,929.89
Mansfield, OH 1 $9,789.17 $9,789.17
Mount Vernon, OH 1 $529.60 $529.60
Salem, OH 1 $5,573.00 $5,573.00
Toledo, OH 1 $17,919.19 $17,919.19
Upper Sandusky, OH 1 $8,342.06 $8,342.06
Zanesville, OH 1 $8,397.85 $8,397.85
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What tonsillectomy, child is, what the price covers and why prices differ: Tonsillectomy, child explained.

Tonsil and adenoid removal, child under 12 in other states

Median cash price across the state's hospitals.