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CPT 42826Virginia

Tonsillectomy Cost in Virginia (2026)

Last updated: May 2026

Tonsillectomy costs $6,538 on average without insurance in Virginia, based on actual CMS data from 31 hospitals. Prices range from $0 to $27,483 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

31 hospitals in Virginia report pricing for tonsillectomy. The average cash price is $6,538.

Hospitals

31

in Virginia

Average List Price

$10,897

gross charge

Average Cash Price

$6,538

40% below list price

Price Range

$0 – $27,483

2748298.0x spread

Hospital Prices in Virginia

Sorted by lowest cash price
MEDICAL COLLEGE OF VIRGINIA HOSPITALS

RICHMOND, VA · Government - Hospital District or Authority

0.1/10

List Price

$0

Cash Price

$0

Negotiated Range

$2,794$5,931

UNIVERSITY OF VIRGINIA MEDICAL CENTER

CHARLOTTESVILLE, VA · Government - State

0.1/10

List Price

$0

Cash Price

$0

Negotiated Range

$2,794$5,931

VCU HEALTH TAPPAHANNOCK HOSPITAL

TAPPAHANNOCK, VA · Voluntary non-profit - Private

0.1/10

List Price

$0

Cash Price

$0

Negotiated Range

$2,794$5,931

COMMUNITY MEMORIAL HOSPITAL

SOUTH HILL, VA · Government - Hospital District or Authority

0.1/10

List Price

$0

Cash Price

$0

Negotiated Range

$3,097$5,931

BON SECOURS ST MARYS HOSPITAL

RICHMOND, VA · Voluntary non-profit - Private

0.1/10

List Price

$16,344

Cash Price

$9,806-40%

Negotiated Range

$2,983$18,258

BON SECOURS SOUTHSIDE MEDICAL CENTER

PETERSBURG, VA · Proprietary

0.1/10

List Price

$20,689

Cash Price

$12,413-40%

Negotiated Range

$2,839$15,161

MARY IMMACULATE HOSPITAL

NEWPORT NEWS, VA · Voluntary non-profit - Private

0.1/10

List Price

$22,657

Cash Price

$13,594-40%

Negotiated Range

$2,798$22,657

BON SECOURS ST FRANCIS MEDICAL CENTER

MIDLOTHIAN, VA · Voluntary non-profit - Church

0.1/10

List Price

$27,483

Cash Price

$16,490-40%

Negotiated Range

$2,839$20,093

INOVA MOUNT VERNON HOSPITAL

ALEXANDRIA, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,983$7,933

DOMINION HOSPITAL

FALLS CHURCH, VA · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$8,526$8,526

UVA HEALTH CULPEPER MEDICAL CENTER

CULPEPER, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,705$10,935

CJW MEDICAL CENTER

RICHMOND, VA · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,995$9,041

RIVERSIDE WALTER REED HOSPITAL

GLOUCESTER, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,592$22,416

RIVERSIDE SHORE MEMORIAL HOSPITAL

ONANCOCK, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,592$23,414

CARILION STONEWALL JACKSON HOSPITAL

LEXINGTON, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$232$15,082

INOVA ALEXANDRIA HOSPITAL

ALEXANDRIA, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,983$7,845

JOHN RANDOLPH MEDICAL CENTER

HOPEWELL, VA · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,995$9,041

MARY WASHINGTON HOSPITAL

FREDERICKSBURG, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,983$8,286

LEWISGALE HOSPITAL ALLEGHANY

LOW MOOR, VA · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$62$9,914

INOVA LOUDOUN HOSPITAL

LEESBURG, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,983$7,904

RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG

WILLIAMSBURG, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,592$19,878

VIRGINIA HOSPITAL CENTER

ARLINGTON, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,424$6,401

NOVANT PRINCE WILLIAM MEDICAL CENTER

MANASSAS, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$3,172$10,607

LEWISGALE HOSPITAL PULASKI

PULASKI, VA · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,550$8,526

HENRICO DOCTORS' HOSPITAL

RICHMOND, VA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,995$9,041

INOVA FAIRFAX HOSPITAL

FALLS CHURCH, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,983$7,894

INOVA FAIR OAKS HOSPITAL

FAIRFAX, VA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,983$7,903

CARILION TAZEWELL COMMUNITY HOSPITAL

TAZEWELL, VA · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$210$17,018

RIVERSIDE REGIONAL MEDICAL CENTER

NEWPORT NEWS, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,592$21,835

UVA HEALTH HAYMARKET MEDICAL CENTER

HAYMARKET, VA · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$3,172$9,588

SPOTSYLVANIA REGIONAL MEDICAL CENTER

FREDERICKSBURG, VA · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,550$8,526

Tonsillectomy Cost by City in Virginia

Tonsillectomy Cost in Other States

What Affects Tonsillectomy Cost in Virginia

The cost of tonsillectomy in Virginia 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 31 hospitals in Virginia, tonsillectomy prices range from $0 to $27,483 — a 27483.0x 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 Virginia

The setting where tonsillectomy is performed in Virginia 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 Virginia

Self-pay patients in Virginia often have access to significantly discounted rates for tonsillectomy. Under federal price transparency rules (45 CFR § 180.50), hospitals must publish their discounted cash prices alongside standard charges.

In Virginia, the average cash price for tonsillectomy is $6,538, which is 40% lower than the average list price of $10,897. 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 Virginia

How much does Tonsillectomy cost in Virginia?
The average cash price for tonsillectomy in Virginia is $6,538. Prices range from $0 to $27,483 depending on the hospital and whether you pay cash or use insurance.
Why do Tonsillectomy prices vary so much in Virginia?
Hospital prices for tonsillectomy in Virginia 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 Virginia, the average cash price for tonsillectomy is $6,538, which is 40% below the average list price of $10,897. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for Tonsillectomy in Virginia?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Virginia 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.