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CostHelper > Health & Personal Care  > General Surgery & Neurosurgery > Tonsil Removal

Tonsil Removal Cost


How Much Does Tonsil Removal Cost?

 
average costWith Insurance Coverage: Copays, Coinsurance and Deductibleshigh costWithout Insurance: Average $5,442
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Removal of tonsils -- or tonsillectomy -- is most common in children under age 12, often because of recurring infections. Adults sometimes get tonsillectomies, especially for sleep problems caused by enlarged tonsils.

Typical costs:

  • For those not covered by health insurance, a tonsillectomy -- with or without an adenoidectomy -- typically costs from $4,153 to $6,381, with an average cost of $5,442, according to Blue Cross Blue Shield of North Carolina. For example, a survey by the Minnesota Council of Health Plans found the average cost was $4,875 in that state.
  • Most tonsillectomies are covered by health insurance if ordered by a doctor. For example, according to Blue Cross Blue Shield of Kansas[1] , any necessary surgery would be covered, unless it is experimental or covered in a specific exclu
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What should be included:
  • The doctor will conduct a pre-surgery office visit.
  • On the day of surgery, the patient is admitted to the hospital, placed under anesthesia and tonsil tissue is surgically removed.
  • Post-surgical follow-up visits for one month usually are included.
Additional costs:
  • Antibiotics and pain medications usually are prescribed after a tonsillectomy, according to Texas Pediatric Surgical Associates[2] . A standard prescription copay would apply.
Discounts:
  • According to a Dutch study reported on MedPageToday.com[3] , watchful waiting can be a more cost-effective solution to tonsil problems in some children.
Shopping for tonsil removal:
  • To find a doctor, get a referral from a pediatrician or family physician. Check with the American Board of Otolaryngology to verify that a doctor you are considering is a board-certified head and neck surgeon.
  • While tonsillectomies are the most common surgery performed on children in the United States, they are less common than in the past. Tonsils are part of the immune system, which is a consideration when considering a tonsillectomy. The American Academy of Otolaryngology has an overview on tonsils.
  • According to the National Institutes of Health[4] , a tonsillectomy should be considered only when: there are seven or more episodes of tonsillitis in a year or five or more per year over two-years; enlarged tonsils that interfere with breathing; an abscess in the tonsils or extremely asymmetric tonsils.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
Tonsillectomy without insurance
Amount: $2,610.00
Posted by: NW ENT DOC in Woodstock, GA.Posted: December 11th, 2013 05:12AM
Clinic or Doctor: Northwest ENT and Allergy CenterInsurance Carrier: None
Type of Policy: None
This surgery center was able to offer a unique all inclusive cash price option for ENT surgery. Cash pricing gives those with no insurance or anyone choosing not to use insurance a reasonably priced option for outpatient surgery.
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Tonsil & Adenoid Removal
Amount: $11,000.00
Posted by: Private in dfw, TX.Posted: September 1st, 2013 05:09AM
Clinic or Doctor: North TexasInsurance Carrier: BC
Type of Policy: PPO
Doctor fee was around $700 with the remaining fee of $10,300 coming from the hospital.
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Was Fair
Amount: $0.00
Posted by: KylamC in Aiken, SC.Posted: August 26th, 2013 08:08PM
Type of Policy: Medicaid
Didn't pay anything
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i also feel ripped off
Amount: $8,500.00
Posted by: jmcn in Ankeny, IA.Posted: March 13th, 2013 08:03PM
Clinic or Doctor: Mercy in Ankeny, IAInsurance Carrier: BCBS
Type of Policy: ppo
Complete BS for a 20 min procedure
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wow feel ripped off by DMC
Amount: $8,300.00
Posted by: bigdee in metrodetroit, MI.Posted: January 10th, 2013 11:01AM
Clinic or Doctor: detroit medical centerInsurance Carrier: blue cross blue shield
Type of Policy: ppo
Wow I wished I got it done arlt an ambulatory surgery center. Hospial and anasteeshea outrageous but surgeons fees were reasonble. Makes you wonder if you are paying through the nose a t their suburban clinics if you have insurance to pay for their innercity teaching hospital center mess. GO stuck payiing 20 percent on own.
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External Resources:
  1.  www.bcbsks.com/
  2.  www.pedisurg.com/PtEducENT/Post-tonsillectomy.htm
  3.  www.medpagetoday.com/Surgery/Otolaryngology/7446
  4.  www.nlm.nih.gov/medlineplus/ency/article/003013.htm
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