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Procedure price report · Other non-OR therapeutic procedures on nose, mouth and pharynx

Unlisted procedure on the throat, adenoids, or tonsils

CPT 42999the billing code this page is about

Used for an operation or treatment involving the pharynx, adenoids, or tonsils that has no specific billing code of its own.

Hospitals typically charge $407 cash for this outpatient procedure — the median across 928 hospitals that filed a usable cash price; the average of the middle 60% is $481. Most fall between $211 and $1,180 (20th–80th percentile).

Hospitals
928
States
50
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 928 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
$144$244$407$827$1,959

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($144 vs $1,959).

How the prices are spread

$94 – $138: 35 hospitals$94$138 – $203: 79 hospitals$203 – $299: 179 hospitals$203$299 – $441: 139 hospitals$441 – $649: 140 hospitals$441$649 – $956: 105 hospitals$956 – $1,409: 42 hospitals$956$1,409 – $2,075: 75 hospitals$2,075 – $3,056: 24 hospitals$2,075$3,056 – $4,502: 24 hospitals$3,056median $407price bands are equal on a log scale
Hospitals per price band (842 of 928 — the bands cover the 5th to 95th percentile)
FromToHospitals
$94$13835
$138$20379
$203$299179
$299$441139
$441$649140
$649$956105
$956$1,40942
$1,409$2,07575
$2,075$3,05624
$3,056$4,50224

Against Medicare

Medicare pays (OPPS 2026, national rate)$242
Median cash price$407
Cash as a multiple of Medicare1.68×

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 $407.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $233 across 13 hospitalsME$233Vermont: 2 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 $424 across 22 hospitalsWA$424Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $270 across 23 hospitalsMN$270Illinois: median $326 across 28 hospitalsIL$326Wisconsin: median $536 across 33 hospitalsWI$536Michigan: median $640 across 52 hospitalsMI$640New York: median $281 across 48 hospitalsNY$281Massachusetts: median $626 across 17 hospitalsMA$626Oregon: median $523 across 25 hospitalsOR$523Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $266 across 15 hospitalsIA$266Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $377 across 42 hospitalsOH$377Pennsylvania: median $280 across 47 hospitalsPA$280New Jersey: median $306 across 34 hospitalsNJ$306Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $784 across 78 hospitalsCA$784Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $239 across 16 hospitalsCO$239Nebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $289 across 26 hospitalsMO$289Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $382 across 13 hospitalsWV$382Virginia: median $289 across 37 hospitalsVA$289Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,662 across 13 hospitalsAZ$1,662New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $508 across 11 hospitalsAR$508Tennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $296 across 13 hospitalsNC$296South Carolina: median $1,161 across 28 hospitalsSC$1,161Oklahoma: median $210 across 19 hospitalsOK$210Louisiana: median $208 across 20 hospitalsLA$208Mississippi: median $89 across 17 hospitalsMS$89Alabama: median $350 across 13 hospitalsAL$350Georgia: median $297 across 11 hospitalsGA$297Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $678 across 81 hospitalsTX$678Florida: median $643 across 28 hospitalsFL$643
Cash price by state, most expensive first. National median $407. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ13$1,662+308%$291 – $1,662
South Carolina SC28$1,161+185%$270 – $4,502
California CA78$784+92%$528 – $1,842
Texas TX81$678+66%$187 – $1,513
Florida FL28$643+58%$514 – $2,857
Michigan MI52$640+57%$326 – $2,938
Massachusetts MA17$626+54%$388 – $782
Wisconsin WI33$536+32%$324 – $548
Oregon OR25$523+28%$96 – $664
Arkansas AR11$508+25%$436 – $2,192
Washington WA22$424+4%$246 – $937
West Virginia WV13$382−6%$340 – $648
Ohio OH42$377−7%$284 – $481
Alabama AL13$350−14%$166 – $4,146
Illinois IL28$326−20%$191 – $562
New Jersey NJ34$306−25%$254 – $5,110
Georgia GA11$297−27%$166 – $2,283
North Carolina NC13$296−27%$163 – $578
Virginia VA37$289−29%$174 – $578
Missouri MO26$289−29%$196 – $394
New York NY48$281−31%$181 – $688
Pennsylvania PA47$280−31%$120 – $911
Minnesota MN23$270−34%$236 – $437
Iowa IA15$266−35%$103 – $388
Colorado CO16$239−41%$172 – $1,322
Maine ME13$233−43%$142 – $301
Oklahoma OK19$210−48%$210 – $473
Louisiana LA20$208−49%$160 – $827
Mississippi MS17$89−78%$69 – $204
Connecticut CT9not enough hospitals filed a usable price
Hawaii HI9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wyoming WY1not 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 $407.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care774$424$220 – $1,380
Children’s14fewer than 20 hospitals
Critical access138$382$166 – $612
Ownership
For-profit101$548$228 – $1,734
Government136$365$197 – $977
Non-profit689$399$210 – $1,012
System affiliation
Part of a system771$400$220 – $1,322
Independent157$440$196 – $937

Cash price vs list price

Median list price (chargemaster)$706
Median cash price$407
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

671 hospitals filed a usable inpatient cash price for this code. The median is $469 and the average of the middle 60% is $505; most fall between $210 and $1,201.

Cash price percentiles, inpatient, across 671 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
$141$236$469$836$1,906

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($141 vs $1,906).

Of the 729 hospitals that filed this code inpatient, 671 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 42 a list price only.

How complete is this

928 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,010 hospitals that filed this code at all gave us
Usable cash price — counted928
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded46
Hospitals that filed this code1,010

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 Other non-OR therapeutic procedures on nose, mouth and pharynx family.

Hospitals file this code under descriptions such as PR Pharyngeal Injection C/T 31574.

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, “Unlisted procedure on the throat, adenoids, or tonsils (CPT 42999) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-42999-unlisted-procedure-on-the-throat-adenoids-or-tonsils