Tonsil and adenoid removal (child under 12)
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities 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.
Procedures included in this package
This list includes the services and fees bundled into the Tonsil and adenoid removal (child under 12) Standard Service Package (SSP EN004). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS J3010 | Facility Fee | Intramuscular injection of fentanyl citrate, 0.1mg |
| HCPCS 42830 | Professional Fee | Endoscopic Removal of Adenoids in Children Under 12 |
| HCPCS J2405 | Facility Fee | Intramuscular injection of ondansetron hydrochloride, 1mg |
| HCPCS 42830 | Facility Fee | Endoscopic Removal of Adenoids in Children Under 12 |
| HCPCS 69436 | Professional Fee | Ventilating Tube Insertion via Tympanostomy Under General Anesthesia |
| HCPCS 69436 | Facility Fee | Ventilating Tube Insertion via Tympanostomy Under General Anesthesia |
| HCPCS J1100 | Facility Fee | Intramuscular injection of 1mg dexamethasone sodium phosphate |