Average Medicaid Tonsillectomy Payments in Baton Rouge, LA: $231.99
Avg. Paid
$231.99
Range
$109.41 – $541.12
Total Claims
6,502
Providers
10
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 Baton Rouge, LA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patricia E Scallan
8080 Bluebonnet Blvd |
$297.88 | 2,729 | 2,477 |
|
Perkins Plaza Ambulatory Surgery Center Llc
7145 Perkins Rd |
$186.01 | 2,134 | 1,712 |
|
Brass Partnership In Commendam
5328 Didesse Dr |
$151.92 | 768 | 572 |
|
Ryan T Boone
5258 Dijon Dr |
$109.58 | 236 | 215 |
|
Lauren Day Saucier Buck
8200 Constantin Blvd Fl 3 |
$140.50 | 233 | 214 |
|
Maria Christine Carratola
10310 The Grove Blvd |
$272.73 | 167 | 144 |
|
Geoffrey Michael Peters
8080 Bluebonnet Blvd |
$338.75 | 147 | 134 |
|
Jon Garwood Traxler
8080 Bluebonnet Blvd |
$374.11 | 48 | 48 |
|
Michael E. Dunham
4950 Essen Ln Ste 400 |
$109.41 | 27 | 25 |
|
Benjamin Floyd Walton
8080 Bluebonnet Blvd |
$541.12 | 13 | 13 |
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 Baton Rouge, LA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Tonsillectomy in Baton Rouge, LA is $231.99 per claim, based on 6,502 claims from 10 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 Baton Rouge, LA?
There are 10 Medicaid providers offering Tonsillectomy related services in Baton Rouge, LA according to public payment data.
What is the price range for Tonsillectomy in Baton Rouge, LA?
Medicaid reimbursement for Tonsillectomy in Baton Rouge, LA ranges from $109.41 to $541.12 per claim, with an average of $231.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Tonsillectomy in Other Cities
Knoxville, TN
Avg $425.33
14,943 claims · 6 providers
Phoenix, AZ
Avg $1,967
14,090 claims · 25 providers
St Petersburg, FL
Avg $144.73
13,997 claims · 6 providers
Nashville, TN
Avg $1,316
11,572 claims · 12 providers
Cincinnati, OH
Avg $805.15
10,929 claims · 18 providers
Birmingham, AL
Avg $378.75
10,761 claims · 6 providers
Columbus, OH
Avg $798.70
10,468 claims · 17 providers
Atlanta, GA
Avg $1,186
9,625 claims · 4 providers
Other Procedures in Baton Rouge, LA
Office Visit
Avg $42.02
5,521,275 claims
Personal Care Services
Avg $136.90
2,953,663 claims
Blood Work & Lab Tests
Avg $7.16
2,584,216 claims
Emergency Room Visit
Avg $116.89
2,376,685 claims
Substance Abuse Treatment
Avg $34.94
2,314,150 claims
Home Health Visit
Avg $65.78
1,863,816 claims
Behavioral & Mental Health Therapy
Avg $74.07
1,512,078 claims
Non-Emergency Medical Transportation
Avg $20.81
1,190,094 claims