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
Tonsillectomy Primary/Secondary Age 12/>
Piedmont, SC
See all hospitals reporting CPT 42826 →Price type
AnMed Piedmont’s median price of $245 is 93% below the median hospital's median price ($3.5k), higher than 4% 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: 13 payers, 50 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 | Humana ah pb humana healthy horizons medicaid professional · fee schedule · inpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 2 | Humana ah pb humana healthy horizons medicaid professional · fee schedule · outpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 3 | Molina ah pb molina healthcare of sc professional · fee schedule · inpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 4 | Molina ah pb molina healthcare of sc professional · fee schedule · outpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 5 | WellCare ah pb wellcare of sc medicaid professional · fee schedule · inpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 6 | WellCare ah pb wellcare of sc medicaid professional · fee schedule · outpatient | $179.57 | $179.57 | $179.57 – $179.57 |
| 7 | Phcs ah pb multiplan/phcs professional · percent of total billed charges · outpatientfrom % of charges | $200.71 | $200.71 | $21.25 – $380.16 |
| 8 | Aetna ah pb aetna medicare professional · fee schedule · inpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 9 | Aetna ah pb aetna medicare professional · fee schedule · outpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 10 | Blue Cross Blue Shield ah pb bcbs medicare advantage professional · fee schedule · inpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 11 | Blue Cross Blue Shield ah pb bcbs medicare advantage professional · fee schedule · outpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 12 | Medicare ah pb medicare part b professional · fee schedule · inpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 13 | Medicare ah pb medicare part b professional · fee schedule · outpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 14 | UnitedHealthcare ah pb uhc ma professional · fee schedule · inpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 15 | UnitedHealthcare ah pb uhc ma professional · fee schedule · outpatient | $235.97 | $235.97 | $235.97 – $235.97 |
| 16 | Devoted ah pb devoted medicare advantage professional · fee schedule · inpatient | $240.69 | $240.69 | $240.69 – $240.69 |
| 17 | Devoted ah pb devoted medicare advantage professional · fee schedule · outpatient | $240.69 | $240.69 | $240.69 – $240.69 |
| 18 | Humana ah pb humana medicare advantage professional · fee schedule · inpatient | $240.69 | $240.69 | $240.69 – $240.69 |
| 19 | Humana ah pb humana medicare advantage professional · fee schedule · outpatient | $240.69 | $240.69 | $240.69 – $240.69 |
| 20 | Cigna ah pb cigna medicare adv professional · fee schedule · inpatient | $243.05 | $243.05 | $243.05 – $243.05 |
| 21 | Cigna ah pb cigna medicare adv professional · fee schedule · outpatient | $243.05 | $243.05 | $243.05 – $243.05 |
| 22 | Molina ah pb molina medicare advantage professional · fee schedule · inpatient | $243.05 | $243.05 | $243.05 – $243.05 |
| 23 | Molina ah pb molina medicare advantage professional · fee schedule · outpatient | $243.05 | $243.05 | $243.05 – $243.05 |
| 24 | WellCare ah pb wellcare ma professional · fee schedule · inpatient | $244.23 | $244.23 | $244.23 – $244.23 |
| 25 | WellCare ah pb wellcare ma professional · fee schedule · outpatient | $244.23 | $244.23 | $244.23 – $244.23 |
Last updated: Mar 6, 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.