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CPT: 42820
age tonsillectomy adenoidectomy hchg adnoidectomy mlp remove tonsilsadenoids

Some hospital descriptions of this service:

  • Remove Tonsils And Adenoids
  • Hchg Tonsillectomy & Adenoidectomy < Age 12 Pf
  • Hchg Tonsillectomy & Adenoidectomy < Age 12 Mlp

Type:

Surgical Procedures


Not using insurance, what's a good price?

Medicare price estimates
A good rule of thumb is to find a hospital where cash prices are close to Medicare Reimbursement. Medicare reimbursement prices are usually broken up into facility and professional fees.
  • Medicare Facility Fees Total: $4,424.23
  • Medicare Professional Fees Total: $338.77
Cash prices estimates
The 20th percentile, median and mean cash price for the service.
  • 20th Percentile Cash Price: $1,973.00
  • Median Cash Price: $5,051.00
  • Mean Cash Price: $5,800.00

Using your insurance, what's a good list price?

The table includes the aggregated list pricing information for this service. A good price is below the 20% percentile threshold. If you can't beat the Medicare Reimbursement rate with insurance, it might be better pay cash if you shop around.
5% Percentile
$912.00
$912.00
20% Percentile
$8,677.00
$8,677.00
40% Percentile
$11,991.00
$11,991.00
Median Price (50%)
$13,930.00
$13,930.00
60% Percentile
$16,180.00
$16,180.00
80% Percentile
$17,650.00
$17,650.00
95% Percentile
$31,714.00
$31,714.00

Mean price: $14,272.00