Average Medicaid Tonsillectomy Payments in Alexandria, LA: $282.37
Avg. Paid
$282.37
Range
$213.25 – $296.82
Total Claims
8,774
Providers
5
Typical Payment Range
Typical Medicaid Tonsillectomy payments fall between $206.59 and $1,054 per claim (median: $326.29). The top 10% of payments exceed $1,741.
Based on per-provider averages across all Medicaid claims in this category.
Surgical removal of the tonsils, commonly performed for recurrent tonsillitis or obstructive sleep apnea in children and adults.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Tonsillectomy in Alexandria, LA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Blaize Noel
221 Windermere Blvd |
$213.25 | 506 | 438 |
|
Joseph A Badeaux
221 Windermere Blvd |
$279.67 | 725 | 663 |
|
Paul A Guillory
221 Windermere Blvd |
$275.88 | 839 | 773 |
|
Christian J Wold
221 Windermere Blvd |
$263.29 | 1,625 | 1,468 |
|
Renick P Webb
221 Windermere Blvd |
$296.82 | 5,079 | 4,617 |
What to Expect: Tonsillectomy
A tonsillectomy takes about 30-45 minutes under general anesthesia. It's usually an outpatient procedure. Recovery takes 10-14 days. Throat pain is the most common complaint and can be managed with pain medication. A soft diet and plenty of fluids are recommended. Watch for signs of bleeding, which can occur up to 2 weeks after surgery.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 42820 | Tonsillectomy & adenoidectomy <12 | $1,012 | 494,505 | 1,624 |
| 42830 | Adenoidectomy primary <12 | $707.06 | 97,633 | 368 |
| 42821 | Tonsillectomy & adenoidect >12 | $1,047 | 2,603 | 42 |
| 42826 | Tonsillectomy primary >12 | $686.37 | 314 | 9 |
| 42825 | Tonsillectomy primary <12 | $426.12 | 147 | 4 |
| 42831 | Adenoidectomy primary >12 | — | — | — |
| 42835 | Adenoidectomy secondary <12 | — | — | — |
| 42836 | Adenoidectomy secondary >12 | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Tonsillectomy cost in Alexandria, LA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Tonsillectomy in Alexandria, LA is $282.37 per claim, based on 8,774 claims from 5 providers. Typical payments fall between $206.59 and $1,054. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Tonsillectomy in Alexandria, LA?
There are 5 Medicaid providers offering Tonsillectomy related services in Alexandria, LA according to public payment data.
What is the price range for Tonsillectomy in Alexandria, LA?
Medicaid reimbursement for Tonsillectomy in Alexandria, LA ranges from $213.25 to $296.82 per claim, with an average of $282.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Tonsillectomy in Other Cities
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Avg $425.33
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Phoenix, AZ
Avg $1,967
14,090 claims · 25 providers
St Petersburg, FL
Avg $144.73
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Nashville, TN
Avg $1,316
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Cincinnati, OH
Avg $805.15
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Birmingham, AL
Avg $378.75
10,761 claims · 6 providers
Columbus, OH
Avg $798.70
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Atlanta, GA
Avg $1,186
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Other Procedures in Alexandria, LA
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Avg $29.10
1,764,439 claims
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Avg $15.79
711,120 claims
X-Ray
Avg $6.29
581,087 claims
Blood Work & Lab Tests
Avg $7.10
545,705 claims
Behavioral & Mental Health Therapy
Avg $67.95
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Personal Care Services
Avg $148.77
483,009 claims
Emergency Room Visit
Avg $70.53
444,369 claims
Non-Emergency Medical Transportation
Avg $42.47
372,273 claims