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CPT 42826Maine

Tonsillectomy Cost in Maine (2026)

Last updated: May 2026

Tonsillectomy costs $318 on average without insurance in Maine, based on actual CMS data from 13 hospitals. Prices range from $1 to $837 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

13 hospitals in Maine report pricing for tonsillectomy. The average cash price is $318.

Hospitals

13

in Maine

Average List Price

$411

gross charge

Average Cash Price

$318

22% below list price

Price Range

$1 – $837

836.7x spread

Hospital Prices in Maine

Sorted by lowest cash price
ST JOSEPH HOSPITAL

BANGOR, ME · Voluntary non-profit - Church

0.1/10

List Price

$1

Cash Price

$1-32%

ST MARY'S REGIONAL MEDICAL CENTER

LEWISTON, ME · Voluntary non-profit - Church

0.1/10

List Price

$1

Cash Price

$1-32%

DOWN EAST COMMUNITY HOSPITAL

MACHIAS, ME · Voluntary non-profit - Private

0.1/10

List Price

$804

Cash Price

$603-25%

Negotiated Range

$354$736

PENOBSCOT VALLEY HOSPITAL

LINCOLN, ME · Voluntary non-profit - Private

0.1/10

List Price

$837

Cash Price

$669-20%

Negotiated Range

$232$803

LINCOLNHEALTH

DAMARISCOTTA, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$248$19,397

MAINEHEALTH FRANKLIN HOSPITAL

FARMINGTON, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$248$14,080

MAINEHEALTH MAINE MEDICAL CENTER

PORTLAND, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$249$14,257

MAINEHEALTH WALDO HOSPITAL

BELFAST, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$248$15,934

MAINEHEALTH STEPHENS HOSPITAL

NORWAY, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$248$14,920

MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR

WESTBROOK, ME · Government - Federal

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$249$3,139

MAINE GENERAL MEDICAL CENTER

AUGUSTA, ME · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$3,215$12,772

MAINEHEALTH MID COAST HOSPITAL

BRUNSWICK, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$248$11,327

MAINEHEALTH PEN BAY HOSPITAL

ROCKPORT, ME · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$248$15,242

Tonsillectomy Cost in Other States

What Affects Tonsillectomy Cost in Maine

The cost of tonsillectomy in Maine depends on several factors, including the type of facility, whether you have insurance, and local market dynamics.

The total cost of tonsillectomy includes more than the surgeon's fee. Facility charges, anesthesia, pre-operative testing, and post-operative care all contribute. Ambulatory surgery centers, where medically appropriate, can offer significant savings compared to hospital settings.

Based on data from 13 hospitals in Maine, tonsillectomy prices range from $1 to $837 — a 836.7x 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 Maine

Tonsillectomy in Maine can be performed in different settings depending on clinical complexity: hospital inpatient, hospital outpatient, or ambulatory surgery center (ASC).

ASCs typically offer lower prices because they have lower overhead and specialize in efficient, high-volume outpatient procedures. For eligible patients, ASCs can save 30–60% compared to hospital outpatient departments.

Not all patients are candidates for outpatient surgery. Your surgeon will determine the appropriate setting based on your health history, the procedure's complexity, and anticipated recovery needs.

Self-Pay vs. Insurance Cost Differences in Maine

Uninsured and self-pay patients can frequently access tonsillectomy at a lower cost than insured rates. Many hospitals in Maine offer cash discounts of 30–70% off the standard chargemaster rate.

In Maine, the average cash price for tonsillectomy is $318, which is 22% lower than the average list price of $411. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

Insured patients should check their plan's Summary of Benefits and contact their insurer for a pre-authorization cost estimate. Your out-of-pocket cost depends on your deductible, copay or coinsurance, and whether the provider is in-network. Even with insurance, comparing hospitals can help you choose a provider where your plan negotiates the best rates.

Related Procedure Costs

Frequently Asked Questions About Tonsillectomy Cost in Maine

How much does Tonsillectomy cost in Maine?
The average cash price for tonsillectomy in Maine is $318. Prices range from $1 to $837 depending on the hospital and whether you pay cash or use insurance.
Why do Tonsillectomy prices vary so much in Maine?
Hospital prices for tonsillectomy in Maine 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 Maine, the average cash price for tonsillectomy is $318, which is 22% below the average list price of $411. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for Tonsillectomy in Maine?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Maine 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.