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 OR SECONDARY; AGE 12 OR OVER
Grapevine, TX
See all hospitals reporting CPT 42826 →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $4.2k is 21% above the median hospital's median price ($3.5k), higher than 68% 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: 8 payers, 23 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $886.62 | $886.62 | $886.62 – $886.62 |
| 2 | Aetna medicaid facility · fee schedule · outpatient | $904.35 | $904.35 | $904.35 – $904.35 |
| 3 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $948.68 | $948.68 | $948.68 – $948.68 |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $3,169 | $3,169 | $3,169 – $3,169 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $3,336 | $3,336 | $3,336 – $3,336 |
| 6 | Humana medicare facility · fee schedule · outpatient | $3,336 | $3,336 | $3,336 – $3,336 |
| 7 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $3,503 | $3,503 | $3,503 – $3,503 |
| 8 | Superior Healthplan medicare facility · fee schedule · outpatient | $3,503 | $3,503 | $3,503 – $3,503 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $3,736 | $3,736 | $3,736 – $3,736 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $4,003 | $4,003 | $4,003 – $4,003 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $4,187 | $4,187 | $4,187 – $4,187 |
| 12 | UnitedHealthcare charter facility · case rate · outpatient | $4,302 | $4,302 | $4,302 – $4,302 |
| 13 | UnitedHealthcare nexus facility · case rate · outpatient | $4,302 | $4,302 | $4,302 – $4,302 |
| 14 | Blue Cross Blue Shield blue advantage facility · case rate · outpatient | $4,427 | $4,427 | $4,427 – $4,427 |
| 15 | UnitedHealthcare commercial broad facility · case rate · outpatient | $4,780 | $4,780 | $4,780 – $4,780 |
| 16 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $5,504 | $5,504 | $5,504 – $5,504 |
| 17 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient | $6,260 | $6,260 | $6,260 – $6,260 |
| 18 | Cigna local plus facility · case rate · outpatient | $6,703 | $6,703 | $6,703 – $6,703 |
| 19 | Ambetter ambetter exchange facility · fee schedule · outpatient | $7,173 | $7,173 | $7,173 – $7,173 |
| 20 | Cigna hmo/ppo facility · case rate · outpatient | $7,886 | $7,886 | $7,886 – $7,886 |
| 21 | Blue Cross Blue Shield city of dallas facility · case rate · outpatient | $8,408 | $8,408 | $8,408 – $8,408 |
| 22 | Blue Cross Blue Shield blue essentials (hmo) facility · case rate · outpatient | $8,879 | $8,879 | $8,879 – $8,879 |
| 23 | Blue Cross Blue Shield bluechoice (ppo) facility · case rate · outpatient | $9,351 | $9,351 | $9,351 – $9,351 |
Last updated: Jun 29, 2026
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