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Procedure price report · Tonsillectomy and/or adenoidectomy

Repeat adenoid removal in a child under 12

CPT 42835the billing code this page is about

Removal of adenoid tissue that has regrown or was left behind after an earlier adenoid operation, in a patient younger than 12 years.

Hospitals typically charge $954 cash for this outpatient procedure — the median across 426 hospitals that filed a usable cash price; the average of the middle 60% is $1,942. Most fall between $376 and $4,962 (20th–80th percentile).

Hospitals
426
States
47
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 426 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
$274$415$954$4,327$8,343

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($274 vs $8,343).

How the prices are spread

$210 – $305: 33 hospitals$210$305 – $443: 79 hospitals$443 – $644: 54 hospitals$443$644 – $936: 18 hospitals$936 – $1,360: 16 hospitals$936$1,360 – $1,976: 13 hospitals$1,976 – $2,872: 13 hospitals$1,976$2,872 – $4,175: 64 hospitals$4,175 – $6,068: 50 hospitals$4,175$6,068 – $8,820: 48 hospitals$6,068median $954price bands are equal on a log scale
Hospitals per price band (388 of 426 — the bands cover the 5th to 95th percentile)
FromToHospitals
$210$30533
$305$44379
$443$64454
$644$93618
$936$1,36016
$1,360$1,97613
$1,976$2,87213
$2,872$4,17564
$4,175$6,06850
$6,068$8,82048

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,387
Median cash price$954
Cash as a multiple of Medicare0.28×

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 $954.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $954 across 19 hospitalsMN$954Illinois: median $372 across 21 hospitalsIL$372Wisconsin: median $2,955 across 14 hospitalsWI$2,955Michigan: median $427 across 27 hospitalsMI$427New York: median $3,838 across 31 hospitalsNY$3,838Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $476 across 28 hospitalsIA$476Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $619 across 10 hospitalsOH$619Pennsylvania: median $152 across 18 hospitalsPA$152New Jersey: median $4,290 across 30 hospitalsNJ$4,290Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,820 across 24 hospitalsCA$8,820Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $415 across 14 hospitalsOK$415Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,308 across 27 hospitalsTX$3,308Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $954. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$8,820+825%$4,243 – $8,820
New Jersey NJ30$4,290+350%$3,590 – $5,110
New York NY31$3,838+302%$441 – $3,935
Texas TX27$3,308+247%$1,794 – $3,308
Wisconsin WI14$2,955+210%$787 – $4,798
Minnesota MN19$9540%$453 – $978
Ohio OH10$619−35%$378 – $1,518
Iowa IA28$476−50%$476 – $582
Michigan MI27$427−55%$390 – $1,513
Oklahoma OK14$415−56%$415 – $6,494
Illinois IL21$372−61%$232 – $4,439
Pennsylvania PA18$152−84%$124 – $5,483
Louisiana LA9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $954.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care329$2,425$377 – $5,328
Children’s14fewer than 20 hospitals
Critical access83$554$369 – $3,308
Ownership
For-profit47$3,308$515 – $8,632
Government85$592$365 – $3,838
Non-profit294$954$378 – $4,881
System affiliation
Part of a system337$1,736$407 – $5,328
Independent89$614$349 – $3,096

Cash price vs list price

Median list price (chargemaster)$854
Median cash price$954
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

206 hospitals filed a usable inpatient cash price for this code. The median is $476 and the average of the middle 60% is $990; most fall between $331 and $3,308.

Cash price percentiles, inpatient, across 206 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
$232$369$476$3,308$8,795

The most expensive tenth of hospitals charges at least 38× what the cheapest tenth charges ($232 vs $8,795).

Of the 227 hospitals that filed this code inpatient, 206 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

426 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 469 hospitals that filed this code at all gave us
Usable cash price — counted426
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code469

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 PR Removal Adenoids,Second,<12 Y/O.

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, “Repeat adenoid removal in a child under 12 (CPT 42835) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42835-repeat-adenoid-removal-in-a-child-under-12