Office Visit (Established Patient) vs Tonsillectomy
Medicare Cost Comparison 2025
Quick Answer
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Tonsillectomy: $5,500 total · Medicare pays $4,400 · Patient pays $1,100
Cost Comparison
| Metric | Office Visit (Established Patient) | Tonsillectomy |
|---|---|---|
| Total Average Cost | $150 | $5,500 |
| Medicare Pays | $120 | $4,400 |
| Patient Pays | $30 | $1,100 |
| Category | physician | outpatient |
FAQ
What is the cost difference between Office Visit (Established Patient) and Tonsillectomy?
Tonsillectomy costs $5,500 on average, while Office Visit (Established Patient) costs $150 — a difference of $5,350.
How much does Medicare pay for Office Visit (Established Patient) vs Tonsillectomy?
Medicare typically pays $120 for Office Visit (Established Patient) (patient owes $30). For Tonsillectomy, Medicare pays $4,400 (patient owes $1,100).
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.
What is Tonsillectomy?
Surgical removal of the tonsils.