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CPT 42826Vermont

Tonsillectomy Cost in Vermont (2026)

Last updated: May 2026

Tonsillectomy costs $1,564 on average without insurance in Vermont, based on actual CMS data from 5 hospitals. Prices range from $519 to $11,355 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

5 hospitals in Vermont report pricing for tonsillectomy. The average cash price is $1,564.

Hospitals

5

in Vermont

Average List Price

$2,828

gross charge

Average Cash Price

$1,564

45% below list price

Price Range

$519 – $11,355

21.9x spread

Hospital Prices in Vermont

Sorted by lowest cash price
BRATTLEBORO MEMORIAL HOSPITAL

BRATTLEBORO, VT · Voluntary non-profit - Private

0.1/10

List Price

$519

Cash Price

$363-30%

Negotiated Range

$216$4,355

NORTHEASTERN VERMONT REGIONAL HOSPITAL

SAINT JOHNSBURY, VT · Voluntary non-profit - Private

0.1/10

List Price

$592

Cash Price

$444-25%

CENTRAL VERMONT MEDICAL CENTER

BARRE, VT · Voluntary non-profit - Private

0.1/10

List Price

$610

Cash Price

$610

Negotiated Range

$239$642

UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE

BURLINGTON, VT · Voluntary non-profit - Other

0.1/10

List Price

$1,065

Cash Price

$1,065

Negotiated Range

$170$1,139

NORTHWESTERN MEDICAL CENTER INC

SAINT ALBANS, VT · Voluntary non-profit - Other

0.1/10

List Price

$11,355

Cash Price

$5,337-53%

Negotiated Range

$3,073$9,879

Tonsillectomy Cost in Other States

What Affects Tonsillectomy Cost in Vermont

The cost of tonsillectomy in Vermont depends on several factors, including the type of facility, whether you have insurance, and local market dynamics.

The total cost of tonsillectomy includes more than the surgeon's fee. Facility charges, anesthesia, pre-operative testing, and post-operative care all contribute. Ambulatory surgery centers, where medically appropriate, can offer significant savings compared to hospital settings.

Based on data from 5 hospitals in Vermont, tonsillectomy prices range from $519 to $11,355 — a 21.9x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hospital vs. Outpatient Center Pricing in Vermont

The setting where tonsillectomy is performed in Vermont significantly impacts total cost. Hospital inpatient stays are the most expensive, followed by hospital outpatient departments, then ambulatory surgery centers.

For patients who are medically appropriate for outpatient surgery, ASCs offer a compelling combination of lower cost and shorter wait times. Many are physician-owned and focus exclusively on surgical care.

Discuss options with your surgeon and, if you're self-pay, ask about pricing at each available setting before scheduling.

Self-Pay vs. Insurance Cost Differences in Vermont

Uninsured and self-pay patients can frequently access tonsillectomy at a lower cost than insured rates. Many hospitals in Vermont offer cash discounts of 30–70% off the standard chargemaster rate.

In Vermont, the average cash price for tonsillectomy is $1,564, which is 45% lower than the average list price of $2,828. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

For insured patients, the negotiated rate between your plan and the hospital determines your cost share. If you haven't met your deductible, you may pay more than the cash price. It's worth asking the hospital whether their self-pay rate is lower than what your insurance would charge — some patients save money by not filing a claim.

Related Procedure Costs

Frequently Asked Questions About Tonsillectomy Cost in Vermont

How much does Tonsillectomy cost in Vermont?
The average cash price for tonsillectomy in Vermont is $1,564. Prices range from $519 to $11,355 depending on the hospital and whether you pay cash or use insurance.
Why do Tonsillectomy prices vary so much in Vermont?
Hospital prices for tonsillectomy in Vermont differ based on facility type (hospital outpatient vs. ambulatory surgery center), negotiated insurance rates, hospital overhead, and local market competition. Hospitals with less nearby competition tend to charge more.
Can I get a cheaper Tonsillectomy by paying cash?
Yes. In Vermont, the average cash price for tonsillectomy is $1,564, which is 45% below the average list price of $2,828. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for Tonsillectomy in Vermont?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Vermont offers the lowest cash price for tonsillectomy. Prices can change, so verify directly with the hospital before scheduling.
Does insurance cover Tonsillectomy?
Most health insurance plans cover tonsillectomy when medically necessary and ordered by a physician. Your out-of-pocket cost depends on your deductible, copay, and coinsurance, and whether the provider is in-network. Contact your insurer for a pre-authorization estimate.

Want the true total cost of REMOVAL OF TONSILS?

Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.

Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.