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
Kansas City, MO
See all hospitals reporting CPT 42826 →Price type
Belton Regional Medical Center’s median price of $5.7k is 65% above the median hospital's median price ($3.5k), higher than 82% 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: 7 payers, 20 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 | UnitedHealthcare ksmgmcd fee schedule · outpatient | $1,043 | $1,043 | $1,043 – $1,043 |
| 2 | Aetna Better Health mcd fee schedule · outpatient | $1,085 | $1,085 | $1,085 – $1,085 |
| 3 | UnitedHealthcare momgmcd fee schedule · outpatient | $1,408 | $1,408 | $1,408 – $1,408 |
| 4 | MultiPlan wcompmissouri fee schedule · outpatient | $3,518 | $3,518 | $3,518 – $3,518 |
| 5 | Humana aso case rate · outpatient | $3,738 | $3,738 | $3,738 – $3,738 |
| 6 | Humana epo case rate · outpatient | $3,738 | $3,738 | $3,738 – $3,738 |
| 7 | Humana hmo case rate · outpatient | $3,738 | $3,738 | $3,738 – $3,738 |
| 8 | MultiPlan wcompkansas fee schedule · outpatient | $4,288 | $4,288 | $4,288 – $4,288 |
| 9 | Humana pos case rate · outpatient | $4,643 | $4,643 | $4,643 – $4,643 |
| 10 | Humana ppo case rate · outpatient | $4,643 | $4,643 | $4,643 – $4,643 |
| 11 | UnitedHealthcare allpayerappendix case rate · outpatient | $5,620 | $5,620 | $5,620 – $5,620 |
| 12 | Aetna ivlhix case rate · outpatient | $5,690 | $5,690 | $5,690 – $5,690 |
| 13 | Oscar hix case rate · outpatient | $5,876 | $5,876 | $5,876 – $5,876 |
| 14 | MultiPlan primarynetwork case rate · outpatient | $6,899 | $6,899 | $6,899 – $6,899 |
| 15 | Aetna kccareplus case rate · outpatient | $7,459 | $7,459 | $7,459 – $7,459 |
| 16 | Aetna local case rate · outpatient | $10,043 | $10,043 | $10,043 – $10,043 |
| 17 | Cigna surefit/localplus case rate · outpatient | $11,854 | $11,854 | $11,854 – $11,854 |
| 18 | Aetna national case rate · outpatient | $12,237 | $12,237 | $12,237 – $12,237 |
| 19 | Cigna localkc case rate · outpatient | $14,138 | $14,138 | $14,138 – $14,138 |
| 20 | Cigna comm case rate · outpatient | $17,672 | $17,672 | $17,672 – $17,672 |
Last updated: Mar 1, 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.