42825 (HCPCS) by state — Price Transparency

HCPCS · across United States

42825 — Removal Of Tonsils

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$5,586 National median

$2,052 – $7,449 IQR (p25 – p75)

2,251 hospitals filing

54 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $1,761.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 42825 (HCPCS), with interquartile range
State	Median	p25	p75
ID	$9,472	$5,848	$12,803
NC	$8,612	$5,691	$8,629
WA	$7,308	$1,497	$14,552
CA	$7,114	$948	$8,681
MA	$7,095	$5,059	$9,570
WI	$6,952	$4,899	$10,782
OR	$6,948	$6,508	$8,944
NJ	$6,864	$5,671	$7,137
DE	$6,734	$6,397	$9,903
RI	$6,656	$4,676	$11,803
FL	$6,491	$2,350	$10,540
ND	$6,372	$5,916	$12,953
IL	$6,290	$1,512	$7,400
NM	$6,243	$5,353	$9,957
AZ	$6,144	$3,261	$6,380
GA	$6,135	$4,671	$7,731
VA	$5,949	$4,072	$10,169
CO	$5,945	$1,792	$7,496
PA	$5,921	$1,457	$8,240
HI	$5,916	$4,247	$7,012
ME	$5,840	$744	$21,244
KY	$5,812	$5,127	$7,351
NE	$5,765	$3,230	$7,658
CT	$5,747	$1,145	$7,239
OK	$5,711	$3,813	$7,466
WV	$5,698	$236	$5,983
MN	$5,646	$846	$6,211
IA	$5,642	$547	$6,048
OH	$5,638	$2,790	$7,652
MD	$5,625	$4,814	$5,734
SD	$5,586	$4,913	$7,130
MS	$5,532	$4,350	$9,186
AR	$5,410	$3,318	$5,753
KS	$5,288	$1,316	$7,395
SC	$5,277	$3,420	$8,780
AL	$5,102	$3,090	$5,874
TX	$5,019	$2,150	$6,518
LA	$4,969	$2,086	$5,865
MO	$4,605	$1,954	$5,929
NY	$4,311	$1,772	$7,000
PR	$4,302	$4,302	$4,302
DC	$4,209	$2,588	$6,000
TN	$4,085	$2,004	$5,639
UT	$3,958	$212	$4,523
AS	$3,907	$357	$7,457
NV	$3,010	$1,542	$6,258
NH	$2,621	$623	$6,457
MI	$2,595	$236	$5,236
AK	$2,236	$789	$4,692
MT	$991	$534	$1,329
GU	$938	$938	$938
WY	$673	$524	$1,738
IN	$512	$324	$2,703
VT	$378	$254	$5,675

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

ID	$9,472	$5,848	$12,803	$95	$23,194	23	124	913
NC	$8,612	$5,691	$8,629	$213	$23,894	51	126	1,359
WA	$7,308	$1,497	$14,552	$51	$50,089	48	103	1,508
CA	$7,114	$948	$8,681	<$1	$41,103	184	544	5,207
MA	$7,095	$5,059	$9,570	$1	$50,000	26	64	461
WI	$6,952	$4,899	$10,782	$228	$43,319	79	153	1,693
OR	$6,948	$6,508	$8,944	$51	$51,070	26	260	860
NJ	$6,864	$5,671	$7,137	$18	$79,894	47	238	3,169
DE	$6,734	$6,397	$9,903	$261	$30,880	5	9	33
RI	$6,656	$4,676	$11,803	$739	$37,381	5	7	70
FL	$6,491	$2,350	$10,540	$1	$986,568	122	178	3,610
ND	$6,372	$5,916	$12,953	$162	$23,449	11	43	187
IL	$6,290	$1,512	$7,400	$125	$22,203	77	299	1,805
NM	$6,243	$5,353	$9,957	$184	$26,001	13	49	247
AZ	$6,144	$3,261	$6,380	$9	$44,250	36	138	1,105
GA	$6,135	$4,671	$7,731	$173	$50,000	56	101	1,474
VA	$5,949	$4,072	$10,169	$274	$23,414	48	69	1,202
CO	$5,945	$1,792	$7,496	$49	$29,531	58	82	1,101
PA	$5,921	$1,457	$8,240	$20	$36,849	66	170	2,897
HI	$5,916	$4,247	$7,012	$193	$15,437	12	25	179
ME	$5,840	$744	$21,244	$224	$35,872	22	19	188
KY	$5,812	$5,127	$7,351	$196	$16,501	38	86	986
NE	$5,765	$3,230	$7,658	$79	$22,021	27	114	839
CT	$5,747	$1,145	$7,239	$510	$16,816	14	20	195
OK	$5,711	$3,813	$7,466	$228	$18,270	48	135	751
WV	$5,698	$236	$5,983	$78	$41,334	15	59	260
MN	$5,646	$846	$6,211	$93	$50,000	62	93	1,175
IA	$5,642	$547	$6,048	<$1	$19,406	41	151	885
OH	$5,638	$2,790	$7,652	$155	$25,989	84	252	1,917
MD	$5,625	$4,814	$5,734	$3,145	$8,069	1 ⚠ thin data	11	19
SD	$5,586	$4,913	$7,130	$11	$11,176	9	106	335
MS	$5,532	$4,350	$9,186	$4	$44,666	24	189	798
AR	$5,410	$3,318	$5,753	$54	$19,166	28	256	1,029
KS	$5,288	$1,316	$7,395	$75	$40,689	41	220	780
SC	$5,277	$3,420	$8,780	$1	$50,000	46	85	1,521
AL	$5,102	$3,090	$5,874	$1	$117,133	40	182	940
TX	$5,019	$2,150	$6,518	<$1	$57,039	245	372	9,646
LA	$4,969	$2,086	$5,865	$36	$30,046	36	124	955
MO	$4,605	$1,954	$5,929	$113	$16,402	39	175	1,351
NY	$4,311	$1,772	$7,000	$20	$46,702	111	346	6,436
PR	$4,302	$4,302	$4,302	$4,302	$4,732	1 ⚠ thin data	5	5
DC	$4,209	$2,588	$6,000	$302	$19,258	3	7	23
TN	$4,085	$2,004	$5,639	$162	$36,759	50	165	2,602
UT	$3,958	$212	$4,523	$46	$22,358	37	98	2,130
AS	$3,907	$357	$7,457	$357	$7,457	1 ⚠ thin data	1	6
NV	$3,010	$1,542	$6,258	$241	$26,822	22	224	684
NH	$2,621	$623	$6,457	$32	$44,504	13	31	387
MI	$2,595	$236	$5,236	<$1	$19,075	68	383	2,106
AK	$2,236	$789	$4,692	$72	$24,380	5	25	51
MT	$991	$534	$1,329	$193	$17,423	15	185	499
GU	$938	$938	$938	$938	$938	1 ⚠ thin data	4	4
WY	$673	$524	$1,738	$23	$11,247	13	59	117
IN	$512	$324	$2,703	$61	$29,226	47	168	2,118
VT	$378	$254	$5,675	<$1	$8,943	7	33	160