# Tonsil and adenoid removal, under age 12 in GA

Billing code `42820`. Prices for this code at 53 hospitals in GA, taken from the machine-readable standard charge files each hospital is required to publish under the CMS Hospital Price Transparency Rule (45 CFR 180.50).

Source page: https://clearcharge.org/price/ga/tonsil-and-adenoid-removal-under-age-12

Remove tonsils and adenoids

## Before quoting any figure below

- **Hospital charges only.** The surgeon, anaesthetist, radiologist and pathologist bill separately and appear in no hospital price file, by construction. Every figure below is part of a total, never the total.
- **A negotiated rate is not a bill.** It is what a hospital and an insurer agreed. What a patient owes depends on their deductible, coinsurance and out-of-pocket maximum.
- **Each hospital's figure is a median across its own plans.** The spread inside one hospital is often wider than the gap between two of them.
- **"not mentioned" is not $0.** It means this hospital's file does not label a row that way. Silence is not a statement that the charge does not exist.
- **A hospital absent from the table says nothing about its prices.** It may publish this code under a revenue or drug code this site cannot map to a procedure.

A procedure code is billed twice -- once by the hospital for its own costs, once by the doctor for their work -- and hospitals publish different sides of that split under the same code. Of the hospitals here, 35 publish a facility charge; 4 publish both, mixed together; 14 do not label which half the figure is.

## Typical price

|  | Amount |
|---|---|
| Cheapest tenth | $1,556 |
| Typical | $5,997 |
| Dearest tenth | $7,557 |

The cheapest and dearest tenth are the hospitals a tenth of the way in from each end, not the single cheapest and dearest. Every hospital, including both extremes, is in the table below.

That is a 5-fold difference for the same billing code -- a gap between hospitals, not between treatments.

## Every hospital publishing this code

| Hospital | Where | CMS rating | Typical | Facility charge | Physician fee | Self-pay | Lowest | Highest | Plans on file |
|---|---|---|---|---|---|---|---|---|---|
| Grady Memorial Hospital | ATLANTA | 2/5 | see split | $5,886 | $235 | not published | $195 | $10,889 | 63 |
| Atrium Health Navicent Peach | BYRON | 1/5 | see split | $3,403 | $331 | not published | $316 | $3,403 | 21 |
| Navicent Health Baldwin | MILLEDGEVILLE | 2/5 | see split | $5,764 | $309 | not published | $275 | $6,575 | 30 |
| Atrium Health Navicent the Medical Center | MACON | 2/5 | see split | $5,422 | $350 | not published | $275 | $5,879 | 38 |
| Optim Medical Center - Tattnall | REIDSVILLE | not rated | $1,259 | $1,259 | not mentioned | $33,523 | $1,259 | $1,259 | 1 |
| Colquitt Regional Medical Center | MOULTRIE | 4/5 | $1,316 | not mentioned | not mentioned | $1,316 | $253 | $8,810 | 44 |
| Hamilton Medical Center | DALTON | 3/5 | $2,514 | $2,514 | not mentioned | not published | $2,395 | $9,635 | 3 |
| Chi Memorial Hospital- Georgia | RINGGOLD | 3/5 | $2,819 | not mentioned | not mentioned | not published | $167 | $12,951 | 21 |
| St Joseph's Hospital - Savannah | SAVANNAH | 2/5 | $3,380 | $3,380 | not mentioned | $259 | $1,314 | $14,100 | 24 |
| Candler Hospital | SAVANNAH | 2/5 | $3,380 | $3,380 | not mentioned | $259 | $1,314 | $14,100 | 24 |
| Memorial Health University Medical Center | SAVANNAH | 1/5 | $3,442 | not mentioned | not mentioned | not published | $1,150 | $14,439 | 209 |
| Fairview Park Hospital | DUBLIN | 4/5 | $4,368 | not mentioned | not mentioned | not published | $1,150 | $14,734 | 227 |
| Memorial Health Meadows Hospital | VIDALIA | 5/5 | $4,384 | not mentioned | not mentioned | not published | $1,150 | $25,200 | 133 |
| St Francis Hospital- Emory Healthcare | COLUMBUS | 3/5 | $4,522 | $4,522 | not mentioned | not published | $357 | $12,969 | 16 |
| Doctors Hospital | AUGUSTA | 3/5 | $4,680 | not mentioned | not mentioned | not published | $1,150 | $14,734 | 195 |
| Phoebe Sumter Medical Center | AMERICUS | 3/5 | $5,447 | $5,447 | not mentioned | not published | $5,188 | $9,078 | 7 |
| Emory Houston Hospital Warner Robins | WARNER ROBINS | 2/5 | $5,462 | $5,462 | not mentioned | not published | $4,419 | $11,242 | 13 |
| Memorial Satilla Health | WAYCROSS | 3/5 | $5,508 | not mentioned | not mentioned | not published | $1,150 | $14,439 | 166 |
| AdventHealth Murray | CHATSWORTH | 5/5 | $5,567 | $5,567 | not mentioned | not published | $2,522 | $10,924 | 8 |
| Effingham Health System | SPRINGFIELD | not rated | $5,600 | not mentioned | not mentioned | $13,000 | $5,354 | $19,000 | 26 |
| WellStar MCG Health, Affiliated with Med Col | AUGUSTA | 1/5 | $5,680 | $5,680 | not mentioned | not published | $1,937 | $18,873 | 22 |
| Tanner Medical Center Villa Rica | VILLA RICA | 3/5 | $5,740 | not mentioned | not mentioned | $5,740 | $2,079 | $8,897 | 17 |
| Atrium Health Floyd Medical Center | ROME | 2/5 | $5,764 | $5,764 | not mentioned | not published | $2,203 | $11,528 | 15 |
| AdventHealth Gordon | CALHOUN | 3/5 | $5,893 | $5,893 | not mentioned | not published | $1,266 | $11,917 | 11 |
| Phoebe Putney Memorial Hospital | ALBANY | 2/5 | $5,988 | $5,988 | not mentioned | not published | $5,703 | $9,980 | 7 |
| WellStar Sylvan Grove Medical Center | JACKSON | not rated | $5,994 | $5,994 | not mentioned | not published | $1,937 | $20,943 | 6 |
| Emory Hillandale Hospital | LITHONIA | 1/5 | $5,997 | $5,997 | not mentioned | $7,906 | $3,600 | $12,588 | 17 |
| Emory University Hospital | ATLANTA | 4/5 | $6,056 | $6,056 | not mentioned | $7,906 | $3,600 | $12,588 | 19 |
| Emory Decatur Hospital | DECATUR | 2/5 | $6,056 | $6,056 | not mentioned | $7,906 | $3,600 | $12,588 | 19 |
| Tanner Medical Center - Carrollton | CARROLLTON | 2/5 | $6,086 | $6,086 | not mentioned | $3,688 | $5,909 | $6,500 | 10 |
| Northside Hospital Forsyth | CUMMING | 4/5 | $6,094 | not mentioned | not mentioned | not published | $383 | $50,000 | 106 |
| Northside Hospital Cherokee | CANTON | 4/5 | $6,094 | not mentioned | not mentioned | not published | $383 | $50,000 | 108 |
| Emory University Hospital Midtown | ATLANTA | 2/5 | $6,133 | $6,133 | not mentioned | $7,906 | $3,600 | $12,747 | 19 |
| Saint Joseph's Hospital of Atlanta | ATLANTA | 3/5 | $6,133 | $6,133 | not mentioned | $7,906 | $3,600 | $12,747 | 19 |
| Emory Johns Creek Hospital | JOHNS CREEK | 4/5 | $6,133 | $6,133 | not mentioned | $7,906 | $3,600 | $12,747 | 19 |
| Northside Hospital Duluth | DULUTH | 4/5 | $6,135 | not mentioned | not mentioned | not published | $383 | $50,000 | 110 |
| Northside Hospital Gwinnett | LAWRENCEVILLE | 3/5 | $6,135 | not mentioned | not mentioned | not published | $383 | $50,000 | 110 |
| WellStar West Georgia Medical Center | LAGRANGE | 5/5 | $6,206 | $6,206 | not mentioned | not published | $1,937 | $22,669 | 14 |
| Northside Hospital | ATLANTA | 3/5 | $6,211 | not mentioned | not mentioned | not published | $383 | $50,000 | 107 |
| WellStar Douglas Medical Center | DOUGLASVILLE | 3/5 | $6,257 | $6,257 | not mentioned | not published | $1,937 | $22,630 | 13 |
| WellStar Spalding Medical Center | GRIFFIN | 2/5 | $6,294 | $6,294 | not mentioned | not published | $1,937 | $22,629 | 14 |
| WellStar Kennestone Regional Medical Center | MARIETTA | 4/5 | $6,313 | $6,313 | not mentioned | not published | $1,937 | $22,572 | 13 |
| WellStar North Fulton Medical Center | ROSWELL | 2/5 | $6,313 | $6,313 | not mentioned | not published | $1,937 | $22,915 | 13 |
| WellStar Paulding Medical Center | HIRAM | 4/5 | $6,313 | $6,313 | not mentioned | not published | $1,937 | $22,572 | 13 |
| WellStar Cobb Medical Center | AUSTELL | 3/5 | $6,313 | $6,313 | not mentioned | not published | $1,937 | $23,446 | 13 |
| AdventHealth Redmond | ROME | 4/5 | $6,337 | $6,337 | not mentioned | not published | $2,363 | $17,104 | 13 |
| East Georgia Regional Medical Center | STATESBORO | 3/5 | $7,203 | $7,203 | not mentioned | $7,203 | $275 | $29,333 | 41 |
| Northeast Georgia Medical Center Habersham | DEMOREST | 3/5 | $7,645 | $7,645 | not mentioned | not published | $2,165 | $22,325 | 10 |
| Northeast Georgia Medical Center Lumpkin | DAHLONEGA | 5/5 | $9,843 | $9,843 | not mentioned | not published | $6,142 | $22,325 | 9 |
| Northeast Georgia Medical Center | GAINESVILLE | 3/5 | $9,843 | $9,843 | not mentioned | not published | $5,825 | $22,325 | 9 |
| NGMC Barrow | WINDER | 4/5 | $9,843 | $9,843 | not mentioned | not published | $5,938 | $22,325 | 9 |
| Mountain Lakes Medical Center | CLAYTON | not rated | $12,788 | $12,788 | not mentioned | $6,600 | $11,550 | $14,025 | 2 |
| St Mary's Hospital | ATHENS | 1/5 | $17,599 | $17,599 | not mentioned | $16,371 | $5,709 | $17,599 | 94 |

## Self-pay

Self-pay is what the hospital charges someone paying themselves rather than through insurance. Paying self-pay usually does not count toward a deductible, so it can cost less for one service and more across a year. Every other figure here is what an insurer pays, not what a patient would.

At 5 of the 16 hospitals here that publish a self-pay price it is LOWER than what that same hospital typically accepts from an insurer; at the other 11 it is higher.

1 of these 53 hospitals have not published an updated price file in over a year, or do not say when they last did. Hospitals are required to update at least annually, so those figures may not reflect what they charge now: Tanner Medical Center Villa Rica.

## Others in digestive health

- [Upper endoscopy (EGD) with biopsy](https://clearcharge.org/price/ga/upper-endoscopy-egd-with-biopsy) -- 92 hospitals, typically $2,106
- [Upper endoscopy (EGD), diagnostic](https://clearcharge.org/price/ga/upper-endoscopy-egd-diagnostic) -- 92 hospitals, typically $1,786
- [Colonoscopy with biopsy](https://clearcharge.org/price/ga/colonoscopy-with-biopsy) -- 90 hospitals, typically $2,246
- [Colonoscopy with polyp removal (snare)](https://clearcharge.org/price/ga/colonoscopy-with-polyp-removal-snare) -- 90 hospitals, typically $2,246
- [Gallbladder removal (laparoscopic)](https://clearcharge.org/price/ga/gallbladder-removal-laparoscopic) -- 69 hospitals, typically $5,799
- [Colonoscopy, diagnostic](https://clearcharge.org/price/ga/colonoscopy-diagnostic) -- 68 hospitals, typically $1,746
- [Groin hernia repair, age 5 and over](https://clearcharge.org/price/ga/groin-hernia-repair-age-5-and-over) -- 67 hospitals, typically $3,547
- [Colonoscopy with ultrasound](https://clearcharge.org/price/ga/colonoscopy-with-ultrasound) -- 63 hospitals, typically $3,011

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Every procedure with a published price in GA: https://clearcharge.org/price/ga
Prices that look wrong: info@clearcharge.org

Compiled by Clearcharge (clearcharge.org) from each hospital's machine-readable standard-charge file. When quoting a figure, cite the source page above. The hospital files behind these figures state data through dates from 2024-07-01 to 2026-05-08; per-hospital staleness is flagged above.