Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR REMOVAL OF TONSILS,12+ Y/O
Waterloo, IA
See all hospitals reporting CPT 42826 →Price type
Allen Memorial Hospital Corporation’s median price of $778 is 78% below the median hospital's median price ($3.5k), higher than 15% of the 1,919 hospitals reporting CPT 42826. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $233.28 | $233.28 | $233.28 – $233.28 |
| 2 | Molina medicare advantage fee schedule · both | $237.95 | $237.95 | $237.95 – $237.95 |
| 3 | Wellmark medicare advantage fee schedule · both | $237.95 | $237.95 | $237.95 – $237.95 |
| 4 | Humana medicare advantage fee schedule · both | $244.94 | $244.94 | $244.94 – $244.94 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $244.94 | $244.94 | $244.94 – $244.94 |
| 6 | Wellmark commercial fee schedule · both | $501.80 | $501.80 | $501.80 – $501.80 |
| 7 | Wellmark hmo fee schedule · both | $501.80 | $501.80 | $501.80 – $501.80 |
| 8 | Aetna hmo fee schedule · both | $574.17 | $574.17 | $574.17 – $574.17 |
| 9 | Wellmark ppo fee schedule · both | $590.40 | $590.40 | $590.40 – $590.40 |
| 10 | Cigna commercial fee schedule · both | $622.62 | $622.62 | $622.62 – $622.62 |
| 11 | Aetna ppo fee schedule · both | $684.88 | $684.88 | $684.88 – $684.88 |
| 12 | UnitedHealthcare hmo fee schedule · both | $777.66 | $777.66 | $777.66 – $777.66 |
| 13 | UnitedHealthcare ppo fee schedule · both | $777.66 | $777.66 | $777.66 – $777.66 |
| 14 | Aetna medicare advantage case rate · outpatient | $3,050 | $3,050 | $3,050 – $3,050 |
| 15 | Molina medicare advantage case rate · outpatient | $3,050 | $3,050 | $3,050 – $3,050 |
| 16 | Wellmark medicare advantage case rate · outpatient | $3,050 | $3,050 | $3,050 – $3,050 |
| 17 | Humana medicare advantage case rate · outpatient | $3,140 | $3,140 | $3,140 – $3,140 |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $3,140 | $3,140 | $3,140 – $3,140 |
| 19 | Aetna hmo fee schedule · outpatient | $7,201 | $7,201 | $7,201 – $7,201 |
| 20 | Aetna ppo fee schedule · outpatient | $7,492 | $7,492 | $7,492 – $7,492 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $8,838 | $8,838 | $8,838 – $8,838 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $8,838 | $8,838 | $8,838 – $8,838 |
Last updated: Jan 28, 2026
See Tonsil removal surgery for patients aged 12 and over pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.