Cost of a Tonsillectomy Visit
in Oklahoma
Reviewed by Momentary Medical Group West PC
Oklahoma's healthcare costs run approximately 8% below national averages, creating more affordable options for patients needing specialized surgical care. Tonsillectomy procedures in Oklahoma typically range from $232 to $540, with a median cost of $289 across the state's 1,023 active providers. Patients can browse all qualified tonsillectomy specialists throughout Oklahoma to find the most cost-effective option for their needs.
Average
$354
Median
$289
Lowest
$232
Highest
$540
Providers
1,023
16% below national average
Compare Similar Procedures
How does tonsillectomy compare to related procedures in Oklahoma?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $85 | $1,314 | $2,533 | 1,663 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $85 | $1,274 | $2,536 | 1,700 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $530 | $960 | 1,703 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $442 | $563 | $1,009 | 993 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $545 | $677 | $1,254 | 1,018 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $85 | $537 | $1,142 | 1,738 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $655 | $921 | $1,624 | 1,023 |
| Septoplasty Nasal septum repair | 30520 | $500 | $623 | $1,200 | 997 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $429 | $520 | $991 | 990 |
| Mastectomy Partial or simple mastectomy | 19301 | $510 | $653 | $1,257 | 1,022 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $345 | $426 | $823 | 996 |
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 Oklahoma
These hospitals in Oklahoma are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
OKLAHOMA CITY, OK
OKLAHOMA CITY, OK
TULSA, OK
OKLAHOMA CITY, OK
OWASSO, OK
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 Oklahoma
Oklahoma's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and competitive provider market. The concentration of medical resources in Oklahoma City and Tulsa creates distinct pricing patterns compared to the state's extensive rural areas.
Urban vs. Rural Provider Availability
Oklahoma's urban centers like Oklahoma City and Tulsa house most ENT specialists, while rural counties often lack local surgical options for tonsillectomy procedures. Patients in rural areas frequently travel significant distances to metro areas for specialized care, adding travel costs to their overall expense. This geographic concentration allows urban providers to maintain competitive pricing due to higher patient volumes.
Facility Type and Overhead Costs
Hospital-based outpatient surgical centers in Oklahoma typically charge higher facility fees than independent ambulatory surgery centers due to increased overhead costs. Major health systems like Integris and Saint Francis influence pricing structures across their networks of facilities. Independent surgical centers often provide more transparent, package-pricing options for elective procedures like tonsillectomy.
Insurance Market Competition in Oklahoma
The presence of BCBS Oklahoma, UHC, and CommunityCare creates moderate competition in negotiated rates, though the market remains less competitive than in larger states. Rural areas may have limited insurer options, potentially affecting negotiated rates for surgical procedures. The state's insurance market structure allows for regional variation in coverage policies and provider reimbursement rates.
Physician Supply and Demand in Oklahoma
With 1,023 active providers handling tonsillectomy procedures, Oklahoma maintains adequate surgical capacity in urban areas but faces shortages in rural regions. This supply distribution means shorter wait times and competitive pricing in metro areas like Oklahoma City and Tulsa. Rural provider shortages can lead to longer travel distances but may result in lower facility costs at critical access hospitals.
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 Oklahoma
What is the average cost of a Tonsillectomy visit in Oklahoma without insurance?
Does Oklahoma Medicaid cover Tonsillectomy visits?
How do I find an affordable Tonsillectomy near me in Oklahoma?
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 Oklahoma?
How does telemedicine affect the cost of seeing a Tonsillectomy in Oklahoma?
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 |