Tonsils and adenoids removal, under age 12 in California
CPT 42820 · hospital facility charge
$11,001typical commercial insurer rate
California hospitals compared
| Hospital | City | List price | Cash price | Insurers (median) |
|---|---|---|---|---|
| Good Samaritan Hospital | San Jose | – | – | $6,860$79–$11,861 · 19 plans |
| Hoag Memorial Hospital Presbyterian | Newport Beach | – | – | $10,171$6,301–$13,518 · 7 plans |
| Los Robles Hospital & Medical Center | Thousand Oaks | – | – | $11,001$79–$15,487 · 16 plans |
| Mercy Medical Center Redding | Redding | – | – | $15,527$7,949–$20,639 · 10 plans |
| Ronald Reagan Ucla Medical Center | Los Angeles | – | – | $7,938$5,939–$14,254 · 11 plans |
| Southern California Hospital at Hollywood | Hollywood | – | – | $4,601$54–$13,065 · 18 plans |
| Stanford Health Care | Stanford | – | – | $27,636$22,368–$40,706 · 5 plans |
| Stanford Health Care Tri-Valley | Pleasanton | – | – | $7,597$5,789–$9,838 · 7 plans |
| Uci Health-Lakewood | Lakewood | – | – | $11,826$11,230–$16,370 · 6 plans |
| Uci Health-Orange | Orange | – | – | $11,826$11,230–$16,370 · 6 plans |
| University of California Davis Medical Center | Sacramento | – | – | $17,663$304–$28,478 · 29 plans |
Only hospitals whose price files we've read are listed. The price is the hospital's part; the doctor (radiologist, surgeon, anesthesiologist) usually bills separately.
Common questions
How much does tonsils and adenoids removal cost at a hospital in California?
The typical rate commercial insurers have negotiated is $11,001. These are hospital prices; independent clinics, imaging centers and labs often charge less.
Does the price include the doctor?
No. These are the hospital's own charges, often called the facility fee. The doctors involved, such as the surgeon, the anesthesiologist or the radiologist who reads a scan, usually send a separate bill.
Before you go
- Ask for an estimate. Hospitals must give uninsured and self-pay patients a written good-faith estimate before planned care.
- Check the network. Confirm that the hospital and the doctors are in your plan's network.
- Ask about financial help. Non-profit hospitals must have a financial assistance policy; many discount or forgive bills by income.
- Get an itemized bill. Compare it with the estimate and question anything you don't recognise.