Cost of a Tonsillectomy Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare delivery challenges, with limited specialist availability across the archipelago affecting access and pricing. Patients seeking a Tonsillectomy typically pay between $85 and $665 for their visit, with a median cost of $399. Hawaii has 45 active Tonsillectomy providers serving the state's population, and patients can browse all available providers to compare costs and find the best fit for their needs.
Average
$383
Median
$399
Lowest
$85
Highest
$665
Providers
45
9% below national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,018 | $1,894 | $2,946 | 46 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $90 | $1,896 | $2,947 | 50 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $746 | $1,386 | 51 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $752 | $1,287 | 52 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $929 | $1,507 | 68 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $846 | $1,376 | 75 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $85 | $1,235 | $1,929 | 46 |
| Septoplasty Nasal septum repair | 30520 | $80 | $858 | $1,376 | 47 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $426 | $734 | $1,149 | 42 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $922 | $1,475 | 45 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $358 | $604 | $1,040 | 41 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 42820 — Tonsillectomy and adenoidectomy). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 42820 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 42820 (Tonsillectomy and adenoidectomy), as mandated by the CMS Price Transparency Rule.
What CPT 42820 covers: the provider's professional fee for tonsillectomy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Tonsillectomy Visit Costs Vary Across Hawaii
Hawaii's healthcare costs run approximately 16% above national averages, driven by the state's remote island location, limited provider competition, and high cost of living that affects everything from medical supplies to physician recruitment. The state's unique geography creates natural barriers to care access, with specialist concentration on Oahu creating travel requirements for many neighbor island residents.
Urban vs. Rural Provider Availability
Honolulu and the greater Oahu metropolitan area house the majority of Hawaii's Tonsillectomy specialists, while the Big Island, Maui, Molokai, and Kauai have limited options. Patients on neighbor islands often face inter-island travel costs and time away from work, making telemedicine consultations increasingly popular for initial evaluations and follow-up care.
Facility Type and Overhead Costs
Hawaii's healthcare delivery is dominated by large health systems including Kaiser Permanente, Hawaii Pacific Health, and The Queen's Health Systems, with fewer independent practices than mainland states. Hospital-based outpatient clinics typically charge higher facility fees due to regulatory requirements and overhead costs, while the limited number of independent practices often offer more competitive self-pay rates.
Insurance Market Competition in Hawaii
The state's insurance market is highly concentrated with HMSA holding the largest market share, followed by UnitedHealthcare and Kaiser Permanente's integrated model. Limited insurer competition can result in less aggressive rate negotiations with providers, though Hawaii's state insurance regulations help protect consumers from excessive premium increases and surprise billing.
Physician Supply and Demand in Hawaii
With 45 active Tonsillectomy providers serving Hawaii's 1.4 million residents, the state maintains adequate specialist coverage compared to many rural mainland areas. However, recruitment challenges due to high living costs and geographic isolation can create longer wait times for non-urgent appointments, particularly on neighbor islands where specialists may only visit monthly.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Tonsillectomy Costs in Hawaii
What is the average cost of a Tonsillectomy visit in Hawaii without insurance?
Does Hawaii Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Hawaii?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Tonsillectomy visit in Hawaii?
How does telemedicine affect the cost of seeing a Tonsillectomy in Hawaii?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 42820)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $95 – $1,404 | $682 |
| 2 | Massachusetts Range: $219 – $1,237 | $637 |
| 3 | Wyoming Range: $351 – $894 | $575 |
| 4 | Nebraska Range: $347 – $705 | $564 |
| 5 | New Hampshire Range: $290 – $831 | $556 |
| 6 | Georgia Range: $196 – $981 | $552 |
| 7 | Washington Range: $324 – $889 | $549 |
| 8 | Maine Range: $342 – $578 | $498 |
| 9 | North Dakota Range: $237 – $820 | $485 |
| 10 | Iowa Range: $95 – $705 | $480 |
| 11 | North Carolina Range: $217 – $820 | $478 |
| 12 | Rhode Island Range: $239 – $742 | $474 |
| 13 | District of Columbia Range: $220 – $681 | $460 |
| 14 | New Mexico Range: $253 – $694 | $459 |
| 15 | South Dakota Range: $197 – $705 | $438 |
| 16 | Missouri Range: $268 – $559 | $436 |
| 17 | Connecticut Range: $194 – $742 | $432 |
| 18 | New Jersey Range: $170 – $833 | $425 |
| 19 | Oregon Range: $85 – $774 | $424 |
| 20 | Vermont Range: $220 – $693 | $418 |
| 21 | Minnesota Range: $94 – $705 | $415 |
| 22 | Mississippi Range: $230 – $725 | $412 |
| 23 | Utah Range: $85 – $643 | $408 |
| 24 | Alaska Range: $85 – $768 | $408 |
| 25 | New York Range: $203 – $742 | $407 |
| 26 | Pennsylvania Range: $149 – $742 | $402 |
| 27 | Michigan Range: $238 – $559 | $402 |
| 28 | Illinois Range: $253 – $596 | $396 |
| 29 | West Virginia Range: $85 – $748 | $396 |
| 30 | Delaware Range: $154 – $698 | $390 |
| 31 | Colorado Range: $85 – $694 | $388 |
| 32 | Alabama Range: $195 – $615 | $387 |
| 33 | Tennessee Range: $234 – $559 | $386 |
| 34 | Idaho Range: $85 – $679 | $384 |
| 35 | Hawaii Range: $85 – $665 | $383 |
| 36 | South Carolina Range: $194 – $644 | $381 |
| 37 | Kentucky Range: $85 – $679 | $374 |
| 38 | Maryland Range: $226 – $607 | $368 |
| 39 | Virginia Range: $192 – $589 | $362 |
| 40 | Indiana Range: $85 – $649 | $360 |
| 41 | Kansas Range: $268 – $463 | $359 |
| 42 | Louisiana Range: $189 – $530 | $355 |
| 43 | Oklahoma Range: $232 – $540 | $354 |
| 44 | California Range: $80 – $705 | $350 |
| 45 | Arkansas Range: $85 – $561 | $348 |
| 46 | Texas Range: $85 – $597 | $332 |
| 47 | Nevada Range: $228 – $481 | $331 |
| 48 | Montana Range: $85 – $581 | $326 |
| 49 | Arizona Range: $240 – $480 | $320 |
| 50 | Ohio Range: $85 – $559 | $313 |
| 51 | Florida Range: $35 – $505 | $198 |