Average Medicaid Tonsillectomy Payments in Wichita, KS: $297.98
Avg. Paid
$297.98
Range
$171.87 – $350.91
Total Claims
1,577
Providers
8
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 Wichita, KS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew Stumpe
10090 E Shannon Woods Cir |
$179.55 | 16 | 15 |
|
Benjamin Hawley
10090 E Shannon Woods Cir |
$171.87 | 27 | 26 |
|
Gabriel Omar De La Garza
10090 E Shannon Woods Cir |
$198.09 | 87 | 84 |
|
Ascension Medical Group Via Christi, Pa
1947 N Founders St |
$263.49 | 122 | 114 |
|
Cypress Surgery Center Llc
9300 E 29Th St N |
$350.91 | 200 | 194 |
|
Surgicare Of Wichita, Llc
2818 N Greenwich Rd |
$336.55 | 248 | 246 |
|
Aaron Scott Thiessen
1947 N Founders Cir |
$207.45 | 326 | 321 |
|
Founders Surgery Center, Llc
1961 N Founders Circle |
$348.01 | 551 | 528 |
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 Wichita, KS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Tonsillectomy in Wichita, KS is $297.98 per claim, based on 1,577 claims from 8 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 Wichita, KS?
There are 8 Medicaid providers offering Tonsillectomy related services in Wichita, KS according to public payment data.
What is the price range for Tonsillectomy in Wichita, KS?
Medicaid reimbursement for Tonsillectomy in Wichita, KS ranges from $171.87 to $350.91 per claim, with an average of $297.98. 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
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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
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Columbus, OH
Avg $798.70
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Atlanta, GA
Avg $1,186
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Other Procedures in Wichita, KS
Personal Care Services
Avg $104.57
3,333,649 claims
Office Visit
Avg $59.08
1,344,372 claims
Blood Work & Lab Tests
Avg $5.45
777,721 claims
Emergency Room Visit
Avg $61.55
656,776 claims
Dental Cleaning & Exam
Avg $34.74
652,632 claims
Speech Therapy
Avg $29.03
559,847 claims
Vaccines & Immunizations
Avg $11.75
479,478 claims
Home Health Visit
Avg $85.02
472,224 claims