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
HC Tonsillectomy Primary/Secondary Age 12/>
Boston, MA
See all hospitals reporting CPT 42826 →Price type
Boston Medical Center’s median price of $3.9k is 11% above the median hospital's median price ($3.5k), higher than 61% 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: 9 payers, 16 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 | Optum bmc hb optum commercial per diem · both | $695.29 | $695.29 | $695.29 – $695.29 |
| 2 | Optum bmc hb optum medicaid per diem · both | $695.29 | $695.29 | $695.29 – $695.29 |
| 3 | Aetna bmc hb aetna percent of total billed charges · bothfrom % of charges | $1,926 | $1,926 | $1,926 – $1,926 |
| 4 | Aetna bmc hb aetna student health percent of total billed charges · bothfrom % of charges | $1,926 | $1,926 | $1,926 – $1,926 |
| 5 | UnitedHealthcare bmc hb harvard pilgrim fee schedule · both | $2,008 | $2,008 | $2,008 – $2,008 |
| 6 | Blue Cross Blue Shield bmc hb blue cross fee schedule · both | $2,552 | $2,552 | $2,552 – $2,552 |
| 7 | Cigna bmc hb cigna percent of total billed charges · bothfrom % of charges | $3,347 | $3,347 | $3,347 – $3,347 |
| 8 | Tricare bmc hb tricare other · both | $3,659 | $3,659 | $3,659 – $3,659 |
| 9 | Aetna bmc hb medicare - no ime other · both | $3,851 | $3,851 | $3,851 – $3,851 |
| 10 | Blue Cross Blue Shield bmc hb medicare - no ime other · both | $3,851 | $3,851 | $3,851 – $3,851 |
| 11 | Humana bmc hb medicare - no ime other · both | $3,851 | $3,851 | $3,851 – $3,851 |
| 12 | Medicare bmc hb medicare other · both | $3,851 | $3,851 | $3,851 – $3,851 |
| 13 | UnitedHealthcare bmc hb medicare - no ime other · both | $3,851 | $3,851 | $3,851 – $3,851 |
| 14 | WellCare bmc hb wellcare (104% of medicare - no ime - ct & nh only) other · both | $4,006 | $4,006 | $4,006 – $4,006 |
| 15 | Cigna bmc hb tufts ppo fee schedule · both | $5,615 | $5,615 | $5,615 – $5,615 |
| 16 | UnitedHealthcare bmc hb united healthcare commercial other · both | $9,462 | $9,462 | $9,462 – $9,462 |
Last updated: Mar 13, 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.