Surgery and procedures CPT 42821 Washington Outpatient

Tonsil and adenoid removal, 12+ cost in Washington

In Washington, 9 hospitals publish a cash price for tonsil and adenoid removal, age 12 or older: from $443.95 to $32,159.70, with a median of $5,931.25. The lowest price is at Astria Toppenish Hospital (Toppenish). The highest price is 72.4× the lowest.

  • The median here, $5,931.25, is 40% above the US median of $4,243.00.
  • Washington ranks 24th of 34 states by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 42821. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$443.95Astria Toppenish Hospital
Median$5,931.25half of hospitals charge less
Highest$32,159.70in Washington
Lowest saves$5,487.30vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Astria Toppenish Hospital lowest Toppenish · Yakima, WA 42821 Tonsillectomy and adenoidectomy; age 12 or o $443.95 $683.00 Apr 1, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Removal of tonsils and adenoid glands (12 years or older) $620.50 $730.00 Oct 7, 2026
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Forks Community Hospital Forks · Port Townsend, WA Removal of tonsils and adenoid glands (12 years or older) $1,970.40 $2,463.00 Oct 27, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA *TONSILLECTOMY AND ADENOIDECTOMY- AGE 12 OR OVER-FAC $3,306.33 $6,483.00 Jan 1, 2026
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PeaceHealth St John Medical Center Longview · Longview-Kelso, WA REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) $5,931.25 $9,125.00 Mar 21, 2026
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PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) $8,663.64 $13,328.67 Mar 20, 2026
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PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) $9,040.85 $13,909.00 Mar 21, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Tonsillectomy & Adenoidectomy Age 12/> $13,110.42 $18,729.17 Mar 12, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Tonsillectomy & Adenoidectomy Age 12/> $32,159.70 — Mar 31, 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.

By metro area

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

Metro areaHospitalsLowestMedian
Seattle-Tacoma-Bellevue, WA 3 $3,306.33 $13,110.42
Bellingham, WA 1 $9,040.85 $9,040.85
Ellensburg, WA 1 $620.50 $620.50
Longview-Kelso, WA 1 $5,931.25 $5,931.25
Port Townsend, WA 1 $1,970.40 $1,970.40
Portland-Vancouver-Hillsboro, OR-WA 1 $8,663.64 $8,663.64
Yakima, WA 1 $443.95 $443.95
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 tonsil and adenoid removal, 12+ is, what the price covers and why prices differ: Tonsil and adenoid removal, 12+ explained.

Tonsil and adenoid removal, age 12 or older in other states

Median cash price across the state's hospitals.