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Tonsillectomy and Adenoid Removal (Age 12 and Older)

HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

AI EXPLANATION: Tonsillectomy and adenoidectomy is an outpatient surgical procedure to remove both the tonsils and the adenoids in individuals aged 12 and older. Tonsils are oval-shaped pads of tissue located at the back of the throat, while adenoids sit higher up behind the nose and the roof of the mouth. A surgeon removes both sets of tissue through the mouth while the patient is asleep under general anesthesia, typically to treat recurrent throat infections or breathing obstructions.

Across 9 hospitals, negotiated prices for this code range from $355 to $25,839. Each dot below is one payer and plan's rate as published by the hospital.

$0$10k$20k$30k
Jacobi Medical Center
Lincoln Hospital
Montefiore Hospital Moses Campus
Montefiore Hutchinson Campus
Montefiore Jack D. Weiler Hospital
Montefiore Wakefield Campus
Montefiore Westchester Square Campus
North Central Bronx Hospital
The Children's Hospital at Montefiore

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Jacobi Medical Center BRONX, NY, 1046199 plans ▾ $3,837.72: $1,750.22 to $5,014.00See details ›
Lincoln Hospital BRONX, NY, 1045199 plans ▾ $3,837.72: $1,727.11 to $4,737.08See details ›
Montefiore Hospital Moses Campus BRONX, NY, 1046724 plans ▾: $4,686.40 to $25,839.00See details ›
Montefiore Hutchinson Campus BRONX, NY, 1046124 plans ▾: $4,686.40 to $25,839.00See details ›
Montefiore Jack D. Weiler Hospital BRONX, NY, 1046124 plans ▾: $4,686.40 to $25,839.00See details ›
Montefiore Wakefield Campus BRONX, NY, 1046624 plans ▾: $4,686.40 to $25,839.00See details ›
Montefiore Westchester Square Campus BRONX, NY, 1046124 plans ▾: $4,686.40 to $25,839.00See details ›
North Central Bronx Hospital BRONX, NY, 1046798 plans ▾ $3,837.72: $1,722.07 to $4,927.26See details ›
The Children's Hospital at Montefiore BRONX, NY, 1046724 plans ▾: $4,686.40 to $25,839.00See details ›
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