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Procedure price report · Tonsillectomy and/or adenoidectomy

Adenoid removal in a child under 12, first operation

CPT 42830the billing code this page is about

Surgical removal of the adenoid tissue behind the nose in a patient younger than 12 years who has not had adenoid surgery before.

Hospitals typically charge $2,039 cash for this outpatient procedure — the median across 776 hospitals that filed a usable cash price; the average of the middle 60% is $2,422. Most fall between $452 and $6,106 (20th–80th percentile).

Hospitals
776
States
49
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 776 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$312$513$2,039$5,036$10,471

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($312 vs $10,471).

How the prices are spread

$233 – $348: 61 hospitals$233$348 – $519: 113 hospitals$519 – $774: 78 hospitals$519$774 – $1,155: 48 hospitals$1,155 – $1,722: 32 hospitals$1,155$1,722 – $2,569: 39 hospitals$2,569 – $3,831: 98 hospitals$2,569$3,831 – $5,714: 106 hospitals$5,714 – $8,521: 64 hospitals$5,714$8,521 – $12,709: 63 hospitals$8,521median $2,039price bands are equal on a log scale
Hospitals per price band (702 of 776 — the bands cover the 5th to 95th percentile)
FromToHospitals
$233$34861
$348$519113
$519$77478
$774$1,15548
$1,155$1,72232
$1,722$2,56939
$2,569$3,83198
$3,831$5,714106
$5,714$8,52164
$8,521$12,70963

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$2,039
Cash as a multiple of Medicare0.60×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,039.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,045 across 12 hospitalsWA$1,045Idaho: median $7,224 across 12 hospitalsID$7,224Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $569 across 33 hospitalsMN$569Illinois: median $650 across 30 hospitalsIL$650Wisconsin: median $1,130 across 34 hospitalsWI$1,130Michigan: median $452 across 41 hospitalsMI$452New York: median $3,838 across 54 hospitalsNY$3,838Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $600 across 21 hospitalsOR$600Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $515 across 44 hospitalsIA$515Indiana: median $401 across 18 hospitalsIN$401Ohio: median $961 across 25 hospitalsOH$961Pennsylvania: median $1,981 across 24 hospitalsPA$1,981New Jersey: median $4,290 across 32 hospitalsNJ$4,290Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,243 across 44 hospitalsCA$4,243Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $6,904 across 13 hospitalsCO$6,904Nebraska: median $646 across 23 hospitalsNE$646Missouri: median $2,294 across 22 hospitalsMO$2,294Kentucky: median $403 across 12 hospitalsKY$403West Virginia: median $1,404 across 16 hospitalsWV$1,404Virginia: median $3,277 across 13 hospitalsVA$3,277Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $2,187 across 19 hospitalsKS$2,187Arkansas: median $1,446 across 11 hospitalsAR$1,446Tennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,932 across 12 hospitalsNC$2,932South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $445 across 17 hospitalsOK$445Louisiana: median $4,186 across 12 hospitalsLA$4,186Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $2,959 across 11 hospitalsAL$2,959Georgia: median $8,159 across 15 hospitalsGA$8,159Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,749 across 36 hospitalsTX$3,749Florida: median $6,960 across 15 hospitalsFL$6,960
Cash price by state, most expensive first. National median $2,039. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA15$8,159+300%$795 – $8,159
Idaho ID12$7,224+254%$4,350 – $8,795
Florida FL15$6,960+241%$3,255 – $33,427
Colorado CO13$6,904+239%$3,441 – $8,292
New Jersey NJ32$4,290+110%$3,590 – $5,339
California CA44$4,243+108%$3,047 – $11,211
Louisiana LA12$4,186+105%$1,601 – $6,004
New York NY54$3,838+88%$521 – $4,595
Texas TX36$3,749+84%$3,110 – $6,513
Virginia VA13$3,277+61%$1,715 – $9,981
Alabama AL11$2,959+45%$588 – $9,154
North Carolina NC12$2,932+44%$1,392 – $5,527
Missouri MO22$2,294+13%$305 – $7,990
Kansas KS19$2,187+7%$410 – $4,459
Pennsylvania PA24$1,981−3%$97 – $6,111
Arkansas AR11$1,446−29%$498 – $1,845
West Virginia WV16$1,404−31%$519 – $3,849
Wisconsin WI34$1,130−45%$1,063 – $1,734
Washington WA12$1,045−49%$387 – $6,698
Ohio OH25$961−53%$407 – $9,464
Illinois IL30$650−68%$358 – $5,761
Nebraska NE23$646−68%$372 – $2,370
Oregon OR21$600−71%$397 – $640
Minnesota MN33$569−72%$433 – $1,145
Iowa IA44$515−75%$470 – $2,384
Michigan MI41$452−78%$346 – $4,559
Oklahoma OK17$445−78%$445 – $4,991
Kentucky KY12$403−80%$270 – $5,682
Indiana IN18$401−80%$270 – $5,637
Mississippi MS9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,039.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care568$3,415$452 – $7,547
Children’s15fewer than 20 hospitals
Critical access193$640$410 – $2,384
Ownership
For-profit97$4,243$1,926 – $8,314
Government139$725$383 – $3,838
Non-profit540$1,734$452 – $5,945
System affiliation
Part of a system610$2,728$458 – $6,854
Independent166$958$383 – $4,534

Cash price vs list price

Median list price (chargemaster)$1,927
Median cash price$2,039
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

373 hospitals filed a usable inpatient cash price for this code. The median is $654 and the average of the middle 60% is $1,273; most fall between $312 and $4,581.

Cash price percentiles, inpatient, across 373 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$233$377$654$3,687$8,795

The most expensive tenth of hospitals charges at least 38× what the cheapest tenth charges ($233 vs $8,795).

Of the 411 hospitals that filed this code inpatient, 373 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

776 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 854 hospitals that filed this code at all gave us
Usable cash price — counted776
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded25
Hospitals that filed this code854

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Tonsillectomy and/or adenoidectomy family.

Hospitals file this code under descriptions such as Adenoidectomy Primary <Age 12.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Adenoid removal in a child under 12, first operation (CPT 42830) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42830-adenoid-removal-in-a-child-under-12-first-operation