CareNavIQ

All procedures › Tonsil and adenoid removal (child under 12)

Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

Tonsil and adenoid removal (child under 12)

Quality: not rated by CMSEarliest available date: call (360) 374-6271

What you may pay

With insurance from an employer or private plan
$857 – $2,310At least one plan lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price)
$1,597 – $1,848The hospital lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Forks Community Hospital’s own price file, dated 2026-10-27. CareNavIQ last refreshed prices on 2026-11-09.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

45 published prices, grouped by who each price applies to.

Cash price 2 prices

The hospital's discounted price for patients paying without insurance.

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$1,597Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-27
$1,848Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-27

List price (before discounts) 2 prices

The hospital's full chargemaster price. Few patients pay this amount.

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$1,996Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-27
$2,310Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-27

Commercial insurance 8 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AMBETTER CCWA EXCH - ALL PLANSAMBETTER CCWA EXCH - ALL PLANS$857Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
AMBETTER CCWA EXCH - ALL PLANSAMBETTER CCWA EXCH - ALL PLANS$991Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
COMMUNITY HEALTH EXCHANGECOMMUNITY HEALTH EXCHANGE$1,297Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
COMMUNITY HEALTH EXCHANGECOMMUNITY HEALTH EXCHANGE$1,502Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$1,996Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$2,310Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANSMOLINA COMMERCIAL-ALL OTHER PLANS$1,836Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANSMOLINA COMMERCIAL-ALL OTHER PLANS$2,125Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27

Medicare Advantage 9 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANSCOMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS$739Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANSCOMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS$855Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
HUMANA MCR ADV - ALL PLANSHUMANA MCR ADV - ALL PLANS$739Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
HUMANA MCR ADV - ALL PLANSHUMANA MCR ADV - ALL PLANS$855Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
MOLINA MEDICAREMOLINA MEDICARE$557Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-27
UHC MCR ADVUHC MCR ADV$739Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
UHC MCR ADVUHC MCR ADV$855Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
WELLCARE MED ADV - ALL PLANSWELLCARE MED ADV - ALL PLANS$857Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
WELLCARE MED ADV - ALL PLANSWELLCARE MED ADV - ALL PLANS$991Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27

Medicaid managed care 10 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AMERIGROUP MEDICAID-ALL PLANSAMERIGROUP MEDICAID-ALL PLANS$732Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
AMERIGROUP MEDICAID-ALL PLANSAMERIGROUP MEDICAID-ALL PLANS$847Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANSCOORDINATED CARE (MCO) MCD-ALL PLANS$746Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANSCOORDINATED CARE (MCO) MCD-ALL PLANS$863Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
MOLINA MEDICAIDMOLINA MEDICAID$690Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
MOLINA MEDICAIDMOLINA MEDICAID$799Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
REGENCE MEDICAIDREGENCE MEDICAID$690Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
REGENCE MEDICAIDREGENCE MEDICAID$799Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
UHC MEDICAIDUHC MEDICAID$888Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
UHC MEDICAIDUHC MEDICAID$1,028Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27

Other government program 4 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
TRICARE-ALL PLANSTRICARE-ALL PLANS$898Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
TRICARE-ALL PLANSTRICARE-ALL PLANS$1,040Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
TRIWEST-ALL PLANSTRIWEST-ALL PLANS$739Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
TRIWEST-ALL PLANSTRIWEST-ALL PLANS$855Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27

Unknown 10 prices

The source file doesn't say which population this rate applies to.

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNA-ALL PLANSAETNA-ALL PLANS$1,996Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
AETNA-ALL PLANSAETNA-ALL PLANS$2,310Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
CIGNA-ALL PLANSCIGNA-ALL PLANS$1,996Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
CIGNA-ALL PLANSCIGNA-ALL PLANS$2,310Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
PREMERA BLUE CROSS-ALL PLANSPREMERA BLUE CROSS-ALL PLANS$1,896Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
PREMERA BLUE CROSS-ALL PLANSPREMERA BLUE CROSS-ALL PLANS$2,195Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
REGENCE-ALL OTHER PLANSREGENCE-ALL OTHER PLANS$1,149Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
REGENCE-ALL OTHER PLANSREGENCE-ALL OTHER PLANS$1,330Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANSUHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS$1,697Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANSUHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS$1,964Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-27

Doctors here who do this procedure

We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).

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