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Procedure

HCPCS 42820 - Tonsil and Adenoid Removal Surgery in Children Under 12 Years Old

Procedure

HCPCS 42820 - Tonsil and Adenoid Removal Surgery in Children Under 12 Years Old

About procedure level pricing

A single service may not reflect the full cost of a medical visit or procedure. Most care involves multiple services billed together and the total price depends on that full set of services.

NYC Health and Hospitals - Bellevue

462 First Avenue, New York, NY 10016
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Nearest station
28 St
12 minute walk
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Up to
$6,772

The estimated total cost of care without any insurance coverage or discounts.

NYC Health and Hospitals - Bellevue
$6,772

Without insurance

What goes into a price?

Prices across providers

This provider
$6,772
Lowest
$858
Highest
$22,972

Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

This procedure is included in the following services:

Package

Tonsil and Adenoid Removal (Child Under 12)

SSP EN000
up to
$6,772
Cash price
View details

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

Up to
$6,772

The estimated total cost of care without any insurance coverage or discounts.

NYC Health and Hospitals - Bellevue

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

Turquoise Health has developed SSPs which combine multiple medical services, materials, and fees associated with a health care visit or procedure into a single bundle to offer a more comprehensive estimate. SSPs are designed based on how health care procedures are commonly billed on claims. When discussing estimates with healthcare providers, you can refer to the individual codes listed in the 'Procedures included in this package' section of the tool.

Contact provider to verify your estimate

Have your service name, code, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service HCPCS 42820 - Tonsil and Adenoid Removal Surgery in Children Under 12 Years Old
Service Code HCPCS 42820
Insurance I'm not using insurance
Provider NYC Health and Hospitals - Bellevue
When you contact them, you can say:
"Hi, I'm calling to verify a price for HCPCS 42820 - Tonsil and Adenoid Removal Surgery in Children Under 12 Years Old I found through NYC Health Department's price estimate tool. Here is the code I’m looking at: HCPCS 42820. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
Website (212) 562-5555