Cost of a Tonsillectomy Visit
in Mississippi
Reviewed by Momentary Medical Group West PC
Mississippi ranks among the states with the highest rates of recurrent tonsillitis in children, making tonsillectomy procedures increasingly common across the Magnolia State. Patients typically pay between $230 and $725 for tonsillectomy procedures, with a median cost of $279 based on negotiated insurance rates from over 1,200 active providers statewide. Mississippi residents can browse all qualified tonsillectomy specialists throughout the state to find the most affordable option for their specific insurance plan.
Average
$412
Median
$279
Lowest
$230
Highest
$725
Providers
1,286
2% below national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Mississippi?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,039 | $1,343 | $3,303 | 1,280 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $1,040 | $1,333 | $3,084 | 1,288 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $430 | $537 | $1,451 | 1,291 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $424 | $529 | $1,330 | 1,283 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $518 | $658 | $1,655 | 1,313 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $473 | $568 | $1,440 | 1,324 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $710 | $889 | $1,932 | 1,285 |
| Septoplasty Nasal septum repair | 30520 | $471 | $594 | $1,357 | 1,287 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $409 | $493 | $1,251 | 1,278 |
| Mastectomy Partial or simple mastectomy | 19301 | $447 | $612 | $1,086 | 1,284 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $332 | $402 | $826 | 1,290 |
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.
Top-Rated Hospitals in Mississippi
These hospitals in Mississippi are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
Biloxi, MS
BILOXI, MS
FLOWOOD, MS
OXFORD, MS
NEW ALBANY, MS
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Tonsillectomy Visit Costs Vary Across Mississippi
Mississippi's healthcare costs run approximately 14% below the national average, reflecting the state's lower cost of living and physician practice expenses. However, rural areas face significant provider shortages, sometimes requiring patients to travel to Jackson, Hattiesburg, or the Gulf Coast for specialized surgical care.
Urban vs. Rural Provider Availability
The Jackson metropolitan area and Gulf Coast region have the highest concentration of ENT surgeons, while the Mississippi Delta and northeastern counties have limited specialist availability. Rural patients often face higher travel costs and longer wait times, though some providers offer telemedicine consultations for pre- and post-operative care. This geographic disparity can actually drive costs higher in rural areas due to limited competition.
Facility Type and Overhead Costs
University of Mississippi Medical Center and other major health systems operate many hospital-based outpatient surgical centers with higher overhead costs. Independent ambulatory surgical centers, particularly around Jackson and Gulfport, often provide the same procedures at lower rates. The type of facility significantly impacts both the facility fee and surgeon's fee components of your total cost.
Insurance Market Competition in Mississippi
With Blue Cross Blue Shield of Mississippi holding a dominant market position alongside UnitedHealthcare and Magnolia Health Plan, the state has relatively limited insurer competition. This concentrated market can result in less aggressive rate negotiations between insurers and providers. However, the presence of multiple regional health systems helps maintain some pricing competition among surgical facilities.
Physician Supply and Demand in Mississippi
Mississippi has over 1,200 providers performing tonsillectomy procedures, indicating adequate supply in urban areas but potential shortages in rural regions. This supply-demand imbalance means patients in underserved areas may face longer wait times and potentially higher costs. The state's medical schools and residency programs help maintain a steady pipeline of specialists, though many graduates leave for higher-paying markets.
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 Mississippi
What is the average cost of a Tonsillectomy visit in Mississippi without insurance?
Does Mississippi Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Mississippi?
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 Mississippi?
How does telemedicine affect the cost of seeing a Tonsillectomy in Mississippi?
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 |