Price Checker / CPT 42831
How much does Removal Of Adenoids cost?
CPT 42831 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 52x the fair price — among the most extreme markups. Dispute this.
Fair price
$320–$640
What this should cost
With insurance
~$2,950
Typical out-of-pocket
Overcharged if over
$800
Push back above this
The average hospital charge of $24,902 is $24,422 over the fair price (about 52x the fair rate).
What hospitals charge for Removal Of Adenoids
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| The Christ Hospital Inpatient Psychiatry , OH | $45,701 | $12,629 | 21380% |
| The Christ Hospital Inpatient Rehab , OH | $45,701 | $12,629 | 21380% |
| The Christ Hospital Liberty , OH | $45,701 | $12,629 | 21380% |
| The Christ Hospital , OH | $45,701 | $12,629 | 21380% |
| Centrastate Medical Center FREEHOLD, NJ | $25,929 | $4,235 | 12087% |
| Mather Hospital , NY | — | $4,595 | 9742% |
| Georgetown Community Hospital GEORGETOWN, KY | $16,509 | — | 7660% |
| Animas Surgical Hospital , CO | $4,775 | — | 5082% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX | — | — | 4694% |
| Troy Regional Medical Center TROY, AL | $6,573 | $3,300 | 2989% |
| Dallas County Hospital PERRY, IA | $6,195 | $4,027 | 2812% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Removal Of Adenoids
CPT code 42831 refers to removal of adenoids (billing description: "Removal of adenoids"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $213 in a facility (hospital or surgery center) and $213 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.