Average Medicaid Tonsillectomy Payments in Oklahoma City, OK: $1,685
Avg. Paid
$1,685
Range
$193.76 – $2,193
Total Claims
5,944
Providers
14
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 Oklahoma City, OK
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margo Tanghetti
9900 Broadway Ext Ste 200 |
$1,642 | 1,222 | 1,222 |
|
Robert Scott Glade
9900 Broadway Ext Ste 200 |
$1,982 | 1,194 | 1,193 |
|
German Paul Digoy
9900 Broadway Ext Ste 200 |
$1,755 | 1,074 | 1,074 |
|
Elena Beth Woodson
9900 Broadway Ext Ste 200 |
$2,193 | 950 | 950 |
|
Richard D Orgill
10958 N May Ave |
$1,524 | 311 | 310 |
|
Colin Wyatt Fuller
800 Stanton L Young Blvd # 1400 |
$1,611 | 287 | 287 |
|
Adam Johnson
920 Sl Young Blvd |
$247.36 | 287 | 237 |
|
Vikram Gopal Ramjee
800 Stanton L Young Blvd Ste 1464 |
$1,215 | 224 | 224 |
|
Christopher Baranano
4221 S Western Ave |
$558.87 | 113 | 113 |
|
Brandon Pierson
3048 Sw 89Th St |
$1,909 | 106 | 106 |
|
Matthew Sharum
920 Stanton L Young Blvd |
$193.76 | 99 | 74 |
|
Jimmy Argo
920 Sl Young Blvd |
$1,327 | 40 | 40 |
|
Benjamin Collins
3048 Sw 89Th St Ste B |
$2,096 | 24 | 24 |
|
Jose Antonio Sanclement
825 Ne 10Th |
$395.56 | 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 Oklahoma City, OK?
Based on public Medicaid payment data, the average Medicaid reimbursement for Tonsillectomy in Oklahoma City, OK is $1,685 per claim, based on 5,944 claims from 14 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 Oklahoma City, OK?
There are 14 Medicaid providers offering Tonsillectomy related services in Oklahoma City, OK according to public payment data.
What is the price range for Tonsillectomy in Oklahoma City, OK?
Medicaid reimbursement for Tonsillectomy in Oklahoma City, OK ranges from $193.76 to $2,193 per claim, with an average of $1,685. 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 Oklahoma City, OK
Case Management Services
Avg $178.61
2,960,059 claims
Office Visit
Avg $102.71
2,863,066 claims
Blood Work & Lab Tests
Avg $13.46
2,343,557 claims
Substance Abuse Treatment
Avg $63.57
2,141,055 claims
Emergency Room Visit
Avg $141.78
1,523,446 claims
Dental Cleaning & Exam
Avg $27.18
954,693 claims
Vaccines & Immunizations
Avg $14.53
868,794 claims
X-Ray
Avg $11.41
794,076 claims