CareNavIQ

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

Kittitas Valley Community Hospital

EllensburgKittitas CountyCritical Access Hospitals

Tonsil and adenoid removal (child under 12)

Quality: not rated by CMSEarliest available date: call (509) 962-9841

What you may pay

With insurance from an employer or private plan
$1,203Only one plan lists a price here:
  • FIRST CHOICE-ALL PLANS $1,203 Lower than typical
Typical at 34 hospitals we cover: $13,858 to $18,316 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price)
$1,203 Lower than typicalTypical hospital’s fee at 6 hospitals we cover: $2,036 to $7,086.Hospital’s fee $578 + clinic doctor’s fee $625, both billed by the hospital.

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: Kittitas Valley Community Hospital’s own price file, dated 2026-10-07. CareNavIQ last refreshed prices on 2026-11-09.

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

17 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
$578Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-07
$625Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-07

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
$680Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-07
$735Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)—Outpatient2026-10-07

Commercial insurance 2 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
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$578Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$625Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-07

Medicare Advantage 2 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
AETNA MCR ADVAETNA MCR ADV$345Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07
AETNA MCR ADVAETNA MCR ADV$263Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07

Unknown 9 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 OTHER PLANSAETNA-ALL OTHER PLANS$646Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$346Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$578Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$422Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07
CIGNA-ALL PLANSCIGNA-ALL PLANS$395Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$573Hospital’s feeRemoval of tonsils and adenoid glands (younger than 12 years)percent of total billed chargesOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$416Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07
REGENCE BLUE SHIELD-ALL PLANSREGENCE BLUE SHIELD-ALL PLANS$465Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$438Clinic doctor’s feeRemoval of tonsils and adenoid glands (younger than 12 years)fee scheduleOutpatient2026-10-07

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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