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/Secondary Age 12/>
Eureka, IL
See all hospitals reporting CPT 42826 →Price type
Carle Eureka Hospital’s median price of $581 is 83% below the median hospital's median price ($3.5k), higher than 14% 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, 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 | Cigna ppo case rate · outpatient | $82.00 | $82.00 | $82.00 – $82.00 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $249.74 | $249.74 | $249.74 – $249.74 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $249.74 | $249.74 | $249.74 – $249.74 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $257.23 | $257.23 | $257.23 – $257.23 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $257.23 | $257.23 | $257.23 – $257.23 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $258.00 | $258.00 | $258.00 – $258.00 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $258.00 | $258.00 | $258.00 – $258.00 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $258.00 | $258.00 | $258.00 – $258.00 |
| 9 | Aetna commercial fee schedule · outpatient | $489.94 | $489.94 | $489.94 – $489.94 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $580.50 | $580.50 | $580.50 – $580.50 |
| 11 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $580.50 | $580.50 | $580.50 – $580.50 |
| 12 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $580.50 | $580.50 | $580.50 – $580.50 |
| 13 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $580.50 | $580.50 | $580.50 – $580.50 |
| 14 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $619.20 | $619.20 | $619.20 – $619.20 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $792.06 | $792.06 | $792.06 – $792.06 |
| 16 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $795.93 | $795.93 | $795.93 – $795.93 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $852.69 | $852.69 | $852.69 – $852.69 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $852.69 | $852.69 | $852.69 – $852.69 |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $864.30 | $864.30 | $864.30 – $864.30 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $967.50 | $967.50 | $967.50 – $967.50 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1,084 | $1,084 | $1,084 – $1,084 |
| 22 | WellCare medicare advantage hmo case rate · outpatient | $3,553 | $3,553 | $3,553 – $3,553 |
Last updated: Apr 15, 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.