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CPT 42826Rhode Island

Tonsillectomy Cost in Rhode Island (2026)

Last updated: May 2026

Tonsillectomy costs $2,373 on average without insurance in Rhode Island, based on actual CMS data from 2 hospitals. Prices range from $746 to $3,954 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

2 hospitals in Rhode Island report pricing for tonsillectomy. The average cash price is $2,373.

Hospitals

2

in Rhode Island

Average List Price

$2,350

gross charge

Average Cash Price

$2,373

-1% below list price

Price Range

$746 – $3,954

5.3x spread

Hospital Prices in Rhode Island

Sorted by lowest cash price
SOUTH COUNTY HOSPITAL INC

WAKEFIELD, RI · Voluntary non-profit - Private

0.1/10

List Price

$3,954

Cash Price

$2,373-40%

Negotiated Range

$821$4,687

RHODE ISLAND HOSPITAL

PROVIDENCE, RI · Voluntary non-profit - Private

0.1/10

List Price

$746

Cash Price

N/A

Tonsillectomy Cost in Other States

What Affects Tonsillectomy Cost in Rhode Island

The cost of tonsillectomy in Rhode Island 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 2 hospitals in Rhode Island, tonsillectomy prices range from $746 to $3,954 — a 5.3x 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 Rhode Island

The setting where tonsillectomy is performed in Rhode Island 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 Rhode Island

If you're paying out of pocket for tonsillectomy in Rhode Island, 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.

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 Rhode Island

How much does Tonsillectomy cost in Rhode Island?
The average cash price for tonsillectomy in Rhode Island is $2,373. Prices range from $746 to $3,954 depending on the hospital and whether you pay cash or use insurance.
Why do Tonsillectomy prices vary so much in Rhode Island?
Hospital prices for tonsillectomy in Rhode Island 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 Rhode Island, the average cash price for tonsillectomy is $2,373, which is -1% below the average list price of $2,350. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for Tonsillectomy in Rhode Island?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in Rhode Island 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.