How much does tonsillectomy & adenoidectomy, under 12 cost in El Paso, TX?
CPT 42820 — the fair price, every hospital's price, and the Medicare benchmark for El Paso, TX.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Valley Baptist Medical Center – Brownsville lowest ⚠ likely error | Hospital | $184negotiated | 0.0× | ★★★★★ |
| The Hospitals of Providence Memorial Campus (El Paso) ⚠ likely error | Hospital | $812negotiated | 0.1× | ★★★★★ |
| The Hospitals of Providence Sierra Campus (El Paso) ⚠ likely error | Hospital | $1,331negotiated | 0.2× | — |
| University Medical Center of El Paso | Hospital | $1,954negotiated | 0.3× | ★★★★★ |
| CHRISTUS Spohn Hospital Corpus Christi – Shoreline | Hospital | $4,511negotiated | 0.8× | ★★★★★ |
| CHRISTUS Spohn Hospital Corpus Christi – South | Hospital | $4,609negotiated | 0.8× | — |
| Baylor Scott & White Medical Center – Temple | Hospital | $4,784cash | 0.8× | ★★★★★ |
| Baylor Scott & White Medical Center – College Station | Hospital | $4,784cash | 0.8× | ★★★★★ |
| CHRISTUS Mother Frances Hospital – Tyler | Hospital | $5,592negotiated | 0.9× | ★★★★★ |
| Covenant Medical Center (Lubbock) | Hospital | $5,858negotiated | 1.0× | ★★★★★ |
| UMC Health System – University Medical Center (Lubbock) | Hospital | $5,989negotiated | 1.0× | ★★★★★ |
| Shannon Medical Center (San Angelo) | Hospital | $9,054negotiated | 1.5× | ★★★★★ |
| Hendrick Medical Center (Abilene) | Hospital | $10,598negotiated | 1.8× | ★★★★★ |
| Doctors Hospital at Renaissance (Edinburg) gross charge | Hospital | $14,659cash | 2.5× | — |
- For 42820 (Tonsillectomy & adenoidectomy, under 12), Medicare's benchmark rate is $5,915.66. A fair self-pay target for this line is $4,783.52. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 42820 is $4,783.52, and negotiated rates at nearby facilities run $1,798.44–$6,755.18. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
What should 42820 cost in El Paso, TX?
For tonsillectomy & adenoidectomy, under 12 (CPT 42820) in El Paso, TX, a fair self-pay price is around $5,188, with hospitals ranging from $1,798 to $6,755 across 14 facilities. Medicare's benchmark rate is $5,916, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does tonsillectomy & adenoidectomy, under 12 cost in El Paso, TX?
A fair self-pay price for tonsillectomy & adenoidectomy, under 12 (CPT 42820) in El Paso, TX is around $5,188, with hospital prices ranging from $1,798 to $6,755 across 14 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 42820?
Medicare pays about $5,916 for tonsillectomy & adenoidectomy, under 12 (CPT 42820). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of tonsillectomy & adenoidectomy, under 12?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in El Paso, TX
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.