Procedure Costs › Tonsillectomy
Tonsillectomy Cost: What Hospitals Charge vs Medicare
National Avg Charge
$8,200
Medicare Rate
$286
Avg Markup
28.7x
CPT Code
42821
Quick Answer
The national average hospital charge for Tonsillectomy is $8,200,
compared to the Medicare reference rate of $286 — a
28.7x markup.
Costs vary significantly by location: the cheapest major city averages $7,298
and the most expensive averages $10,496.
Tonsillectomy Cost by City (50 Cities)
| City | State | Avg Hospital Charge | Medicare Rate | Markup |
|---|---|---|---|---|
| Oklahoma City | OK | $7,298 | $286 | 25.5x |
| Louisville | KY | $7,462 | $286 | 26.1x |
| Wichita | KS | $7,462 | $286 | 26.1x |
| Nashville | TN | $7,544 | $286 | 26.4x |
| Memphis | TN | $7,544 | $286 | 26.4x |
| Albuquerque | NM | $7,544 | $286 | 26.4x |
| Omaha | NE | $7,544 | $286 | 26.4x |
| New Orleans | LA | $7,544 | $286 | 26.4x |
| Indianapolis | IN | $7,626 | $286 | 26.7x |
| Kansas City | MO | $7,626 | $286 | 26.7x |
| St. Louis | MO | $7,626 | $286 | 26.7x |
| Charlotte | NC | $7,872 | $286 | 27.5x |
| Raleigh | NC | $7,872 | $286 | 27.5x |
| Milwaukee | WI | $7,954 | $286 | 27.8x |
| Atlanta | GA | $7,954 | $286 | 27.8x |
| Columbus | OH | $8,036 | $286 | 28.1x |
| Cleveland | OH | $8,036 | $286 | 28.1x |
| Cincinnati | OH | $8,036 | $286 | 28.1x |
| Houston | TX | $8,200 | $286 | 28.7x |
| Phoenix | AZ | $8,200 | $286 | 28.7x |
| San Antonio | TX | $8,200 | $286 | 28.7x |
| Dallas | TX | $8,200 | $286 | 28.7x |
| Austin | TX | $8,200 | $286 | 28.7x |
| Jacksonville | FL | $8,200 | $286 | 28.7x |
| Fort Worth | TX | $8,200 | $286 | 28.7x |
| El Paso | TX | $8,200 | $286 | 28.7x |
| Tucson | AZ | $8,200 | $286 | 28.7x |
| Mesa | AZ | $8,200 | $286 | 28.7x |
| Miami | FL | $8,200 | $286 | 28.7x |
| Tampa | FL | $8,200 | $286 | 28.7x |
| Orlando | FL | $8,200 | $286 | 28.7x |
| Las Vegas | NV | $8,364 | $286 | 29.2x |
| Minneapolis | MN | $8,610 | $286 | 30.1x |
| Philadelphia | PA | $8,856 | $286 | 31.0x |
| Portland | OR | $8,856 | $286 | 31.0x |
| Pittsburgh | PA | $8,856 | $286 | 31.0x |
| Richmond | VA | $8,856 | $286 | 31.0x |
| Chicago | IL | $9,020 | $286 | 31.5x |
| Denver | CO | $9,020 | $286 | 31.5x |
| Baltimore | MD | $9,184 | $286 | 32.1x |
| Seattle | WA | $9,430 | $286 | 33.0x |
| Boston | MA | $9,840 | $286 | 34.4x |
| Los Angeles | CA | $10,004 | $286 | 35.0x |
| San Diego | CA | $10,004 | $286 | 35.0x |
| San Jose | CA | $10,004 | $286 | 35.0x |
| San Francisco | CA | $10,004 | $286 | 35.0x |
| Fresno | CA | $10,004 | $286 | 35.0x |
| Sacramento | CA | $10,004 | $286 | 35.0x |
| New York | NY | $10,250 | $286 | 35.8x |
| Washington | DC | $10,496 | $286 | 36.7x |
Tonsillectomy Cost by State
Oklahoma
$7,298 avg · OK
Kentucky
$7,462 avg · KY
Kansas
$7,462 avg · KS
Tennessee
$7,544 avg · TN
New Mexico
$7,544 avg · NM
Nebraska
$7,544 avg · NE
Louisiana
$7,544 avg · LA
Indiana
$7,626 avg · IN
Missouri
$7,626 avg · MO
North Carolina
$7,872 avg · NC
Wisconsin
$7,954 avg · WI
Georgia
$7,954 avg · GA
Ohio
$8,036 avg · OH
Texas
$8,200 avg · TX
Arizona
$8,200 avg · AZ
Florida
$8,200 avg · FL
Nevada
$8,364 avg · NV
Minnesota
$8,610 avg · MN
Pennsylvania
$8,856 avg · PA
Oregon
$8,856 avg · OR
Virginia
$8,856 avg · VA
Illinois
$9,020 avg · IL
Colorado
$9,020 avg · CO
Maryland
$9,184 avg · MD
Washington
$9,430 avg · WA
Massachusetts
$9,840 avg · MA
California
$10,004 avg · CA
New York
$10,250 avg · NY
District of Columbia
$10,496 avg · DC
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Cost estimates based on CMS Medicare fee schedule and national hospital chargemaster averages adjusted by state cost indices. Actual charges vary by facility and insurance. Not medical or financial advice. Learn how to read your bill →