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CPT 42826Idaho

Tonsillectomy Cost in Idaho (2026)

Last updated: May 2026

Tonsillectomy costs $3,231 on average without insurance in Idaho, based on actual CMS data from 10 hospitals. Prices range from $728 to $6,070 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

10 hospitals in Idaho report pricing for tonsillectomy. The average cash price is $3,231.

Hospitals

10

in Idaho

Average List Price

$3,692

gross charge

Average Cash Price

$3,231

12% below list price

Price Range

$728 – $6,070

8.3x spread

Hospital Prices in Idaho

Sorted by lowest cash price
ST JOSEPH REGIONAL MEDICAL CENTER

LEWISTON, ID · Voluntary non-profit - Private

0.1/10

List Price

$728

Cash Price

$400-45%

NORTHWEST SPECIALTY HOSPITAL

POST FALLS, ID · Proprietary

0.1/10

List Price

$3,138

Cash Price

$3,138

Negotiated Range

$2,602$4,674

MADISON MEMORIAL HOSPITAL

REXBURG, ID · Government - Local

0.1/10

List Price

$6,070

Cash Price

$4,553-25%

Negotiated Range

$3,243$3,243

IDAHO FALLS COMMUNITY HOSPITAL, LLC

IDAHO FALLS, ID · Proprietary

0.1/10

List Price

$4,833

Cash Price

$4,833

Negotiated Range

$2,033$2,310

MOUNTAIN VIEW HOSPITAL

IDAHO FALLS, ID · Physician

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,320$8,802

SHOSHONE MEDICAL CENTER

KELLOGG, ID · Government - Hospital District or Authority

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$65$268

MINIDOKA MEMORIAL HOSPITAL

RUPERT, ID · Government - Local

0.1/10

List Price

N/A

Cash Price

N/A

CASSIA REGIONAL HOSPITAL

BURLEY, ID · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$95$4,247

EASTERN IDAHO REGIONAL MEDICAL CENTER

IDAHO FALLS, ID · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$201$12,152

WEST VALLEY MEDICAL CENTER

CALDWELL, ID · Proprietary

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$201$12,233

Tonsillectomy Cost in Other States

What Affects Tonsillectomy Cost in Idaho

Hospital charges for tonsillectomy in Idaho vary widely based on facility type, geographic competition, and payer mix.

For tonsillectomy in Idaho, the choice of facility can mean thousands of dollars in price difference. Teaching hospitals and major health systems typically maintain higher chargemaster rates, while community hospitals and outpatient centers may offer competitive self-pay pricing.

Based on data from 10 hospitals in Idaho, tonsillectomy prices range from $728 to $6,070 — a 8.3x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hospital vs. Outpatient Center Pricing in Idaho

The setting where tonsillectomy is performed in Idaho significantly impacts total cost. Hospital inpatient stays are the most expensive, followed by hospital outpatient departments, then ambulatory surgery centers.

For patients who are medically appropriate for outpatient surgery, ASCs offer a compelling combination of lower cost and shorter wait times. Many are physician-owned and focus exclusively on surgical care.

Discuss options with your surgeon and, if you're self-pay, ask about pricing at each available setting before scheduling.

Self-Pay vs. Insurance Cost Differences in Idaho

If you're paying out of pocket for tonsillectomy in Idaho, you may be able to negotiate a rate lower than the hospital's published list price. Federal law requires hospitals to post cash-pay rates, making it easier to compare options before scheduling.

In Idaho, the average cash price for tonsillectomy is $3,231, which is 12% lower than the average list price of $3,692. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

For insured patients, the negotiated rate between your plan and the hospital determines your cost share. If you haven't met your deductible, you may pay more than the cash price. It's worth asking the hospital whether their self-pay rate is lower than what your insurance would charge — some patients save money by not filing a claim.

Related Procedure Costs

Frequently Asked Questions About Tonsillectomy Cost in Idaho

How much does Tonsillectomy cost in Idaho?
The average cash price for tonsillectomy in Idaho is $3,231. Prices range from $728 to $6,070 depending on the hospital and whether you pay cash or use insurance.
Why do Tonsillectomy prices vary so much in Idaho?
Hospital prices for tonsillectomy in Idaho differ based on facility type (hospital outpatient vs. ambulatory surgery center), negotiated insurance rates, hospital overhead, and local market competition. Hospitals with less nearby competition tend to charge more.
Can I get a cheaper Tonsillectomy by paying cash?
Yes. In Idaho, the average cash price for tonsillectomy is $3,231, which is 12% below the average list price of $3,692. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for Tonsillectomy in Idaho?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Idaho offers the lowest cash price for tonsillectomy. Prices can change, so verify directly with the hospital before scheduling.
Does insurance cover Tonsillectomy?
Most health insurance plans cover tonsillectomy when medically necessary and ordered by a physician. Your out-of-pocket cost depends on your deductible, copay, and coinsurance, and whether the provider is in-network. Contact your insurer for a pre-authorization estimate.

Want the true total cost of REMOVAL OF TONSILS?

Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.

Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.