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
Morganton, NC
See all hospitals reporting CPT 42826 →Price type
Blue Ridge HealthCare Hospitals, Inc’s median price of $3.1k is 11% below the median hospital's median price ($3.5k), higher than 31% 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, 7 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $2,943 | $2,943 | $2,943 – $2,943 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $3,034 | $3,034 | $3,034 – $3,034 |
| 3 | Optum vaccn behavioral health facility · fee schedule · outpatient | $3,034 | $3,034 | $3,034 – $3,034 |
| 4 | Humana medicare hmo/medicare ppo facility · fee schedule · outpatient | $3,064 | $3,064 | $3,064 – $3,064 |
| 5 | Cigna medicare advantage facility · fee schedule · outpatient | $3,186 | $3,186 | $3,186 – $3,186 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $3,186 | $3,186 | $3,186 – $3,186 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $3,216 | $3,216 | $3,216 – $3,216 |
Last updated: Jun 4, 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.