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Cost of tonsil and adenoid removal in District Of Columbia

The average cash price for tonsil and adenoid removal care in District Of Columbia is $4,146 at a surgery center versus $7,649 at an outpatient hospital. While an outpatient hospital may offer more complimentary and support services for patients, it costs almost twice as much (46%) when comparing tonsil and adenoid removal procedures performed at a surgery center. Read More

Average cash price in District Of Columbia

A common tonsil and adenoid removal at surgery center facility in District Of Columbia includes

  Units Avg Cash price

Provider

General surgeon visit provider fee

First time visit Standard
1 $135

Certified registered nurse anesthetist visit provider fee

Returning visit Standard
1 $111

Provider fee to remove tonsils and adenoid glands

Standard Standard
1 $410

Facility

Surgery center fee to remove tonsils and adenoid glands

Standard Standard
1 $3,023

Lab

Lab fee for lab examination of tissue using a microscope

Moderately simple Standard
1 $57

Anesthesia

Anesthesiologist fee to be "put under" for procedure

Level 3 Standard
1 $217

Anesthesiologist time to be "put under" for procedure

Per minute Standard
90 $194
Total average cash price   $4,146.17

A common tonsil and adenoid removal at outpatient hospital facility in District Of Columbia includes

  Units Avg Cash price

Provider

General surgeon visit provider fee

First time visit Standard
1 $135

Certified registered nurse anesthetist visit provider fee

Returning visit Standard
1 $111

Provider fee to remove tonsils and adenoid glands

Standard Standard
1 $410

Facility

Outpatient Hospital fee to remove tonsils and adenoid glands

level 5 Standard
1 $6,526

Lab

Lab fee for lab examination of tissue using a microscope

Moderately simple Standard
1 $57

Anesthesia

Anesthesiologist fee to be "put under" for procedure

Level 3 Standard
1 $217

Anesthesiologist time to be "put under" for procedure

Per minute Standard
90 $194
Total average cash price   $7,649.20

The tonsils are two round balls of tissue at the back of your throat. The adenoids sit high in your throat and are located behind the nose. 

Tonsils and adenoids protect the body from disease and function as part of the immune system. Occasionally, they can get infected, causing swelling and pain. If the tonsils and adenoids are too large, it can make breathing and swallowing difficult. 

When infections become very frequent or tonsil size causes too many problems, your doctor might recommend a tonsillectomy and adenoidectomy. This is a surgical procedure that removes the tonsils and adenoids at the same time. The procedure doesn’t require any incisions outside the skin because the surgeon can simply reach inside the patient’s mouth. 

It’s possible to remove just the tonsils or adenoids. Since the tonsils and adenoids perform a similar function and are located close together, it can be difficult for doctors to know which one is responsible for the problems. Therefore, they usually recommend removing both at the same time to avoid future surgery.

The tonsillectomy and adenoidectomy procedure is conducted under general anesthesia. You’ll be asleep during the entire operation and won’t feel any pain. 

After the procedure, it’s common to have a sore throat for a couple of weeks. The pain is most severe during the first week after surgery and usually goes away completely after three weeks. Your doctor may prescribe medication covered by your prescription insurance to help with the temporary discomfort.

A typical tonsillectomy and adenoidectomy surgery takes 30-45 minutes. The total time spent in the operating room and procedure areas will be several hours and can affect your medical bill. Before undergoing the removal procedure, patients are administered anesthesia. After the surgery is done, it can take a few hours to recover from the anesthesia, requiring more time in the hospital.

A tonsillectomy and adenoidectomy is an outpatient procedure. This means patients leave the hospital the same day as their procedure. Once the surgery is complete, you’ll be monitored by nurses for a couple of hours. They’ll make sure your pain is under control and that you’ve completely recovered from the anesthesia. Typically, you’ll be in hospital for 5-6 hours for a tonsillectomy and adenoidectomy.

Full recovery from a T&A takes a couple of weeks. Most patients are completely healed in two weeks, but some may take up to three weeks to recover. Older patients may experience a longer recovery time than younger patients. Eating soft foods and drinking plenty of fluids can help speed up the process.

After T&A surgery, you should get sick less frequently. It should be easier to breathe, and you may no longer snore at night. Some patients will notice a change in their voice if large tonsils were muffling it before surgery.

There are some possible side effects from having surgery to remove the tonsils and adenoids. The possible side effects include bleeding, infection, ear pain, difficulty swallowing, and a blocked nose. 

Talk with your doctor if you have concerns about T&A or think you may need this procedure.

About the tonsil and adenoid removal Average Cash Prices

This procedure is most commonly performed at either a surgery center or an outpatient hospital.

Surgery centers, also known as ambulatory surgery centers (ASCs), are independent, licensed medical facilities that are governed by distinct regulatory requirements compared with a hospital. Procedures performed at an ASCs are often less expensive than when they are performed at an outpatient hospital, but they typically offer fewer complimentary services, and may not have the full-range of support services that a hospital provides.

Outpatient facilities are outpatient departments or clinics that may be within or next to a hospital, but is owned and run by the affiliated hospital. These facilities can perform surgical treatments and procedures that do not require an overnight stay. Procedures performed at an outpatient hospital are often more expensive than when they are performed in an ambulatory surgery center, but outpatient hospitals may offer more complimentary and support services for patients because they are connected to the hospital system.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.