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 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>
Quincy, IL
See all hospitals reporting CPT 42826 →Price type
Blessing Hospital’s median price of $481 is 86% below the median hospital's median price ($3.5k), higher than 13% 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, 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 commercial professional · case rate · both | $231.52 | $231.52 | $231.52 – $231.52 |
| 2 | UnitedHealthcare medicare advantage professional · case rate · both | $231.52 | $231.52 | $231.52 – $231.52 |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $238.95 | $238.95 | $238.95 – $238.95 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $404.65 | $404.65 | $404.65 – $404.65 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $411.86 | $411.86 | $411.86 – $411.86 |
| 6 | Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges | $412.66 | $412.66 | $412.66 – $412.66 |
| 7 | Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges | $412.66 | $412.66 | $412.66 – $412.66 |
| 8 | Blue Cross Blue Shield commercial professional · fee schedule · both | $437.00 | $437.00 | $437.00 – $437.00 |
| 9 | Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges | $480.77 | $480.77 | $480.77 – $480.77 |
| 10 | Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges | $480.77 | $480.77 | $480.77 – $480.77 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $480.77 | $480.77 | $480.77 – $480.77 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $480.77 | $480.77 | $480.77 – $480.77 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $512.83 | $512.83 | $512.83 – $512.83 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $512.83 | $512.83 | $512.83 – $512.83 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $512.83 | $512.83 | $512.83 – $512.83 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $512.83 | $512.83 | $512.83 – $512.83 |
| 17 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $512.83 | $512.83 | $512.83 – $512.83 |
| 18 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $512.83 | $512.83 | $512.83 – $512.83 |
| 19 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $600.97 | $600.97 | $600.97 – $600.97 |
| 20 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $641.03 | $641.03 | $641.03 – $641.03 |
| 21 | Bcbs Il commercial professional · fee schedule · both | $647.53 | $647.53 | $647.53 – $647.53 |
| 22 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3,805 | $3,805 | $3,805 – $3,805 |
Last updated: Jun 8, 2026
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