Average Medicaid Tonsillectomy Payments in Canton, MS: $3,616
Avg. Paid
$3,616
Range
$3,616 – $3,616
Total Claims
13
Providers
1
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 Canton, MS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
State Of Mississippi - University Of Mississippi Medical Center
161 River Oaks Drive |
$3,616 | 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 Canton, MS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Tonsillectomy in Canton, MS is $3,616 per claim, based on 13 claims from 1 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 Canton, MS?
There are 1 Medicaid providers offering Tonsillectomy related services in Canton, MS according to public payment data.
What is the price range for Tonsillectomy in Canton, MS?
Medicaid reimbursement for Tonsillectomy in Canton, MS ranges from $3,616 to $3,616 per claim, with an average of $3,616. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Canton, MS
Office Visit
Avg $50.44
187,203 claims
Dental Cleaning & Exam
Avg $26.93
120,333 claims
Blood Work & Lab Tests
Avg $5.86
118,177 claims
Emergency Room Visit
Avg $113.30
67,590 claims
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Avg $9.85
48,207 claims
Urinalysis & Urine Tests
Avg $2.75
33,928 claims
Prescription Medications
Avg $0.34
33,510 claims
Physical Therapy
Avg $20.99
32,269 claims