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
42826 - PF TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR OVER
Charleston, WV
See all hospitals reporting CPT 42826 →Price type
Charleston Area Medical Center’s median price of $292 is 92% below the median hospital's median price ($3.5k), higher than 7% 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: 8 payers, 13 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 Better Health chip fee schedule · both | $191.98 | $191.98 | $191.98 – $191.98 |
| 2 | Aetna medicare advantage fee schedule · both | $224.86 | $224.86 | $224.86 – $224.86 |
| 3 | Highmark medicare advantage fee schedule · both | $224.86 | $224.86 | $224.86 – $224.86 |
| 4 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $224.86 | $224.86 | $224.86 – $224.86 |
| 5 | UnitedHealthcare medicare advantage percent of total billed charges · bothfrom % of charges | $231.61 | $231.61 | $231.61 – $231.61 |
| 6 | Aetna commercial fee schedule · both | $243.25 | $243.25 | $243.25 – $243.25 |
| 7 | Caresource commercial percent of total billed charges · bothfrom % of charges | $337.29 | $337.29 | $337.29 – $337.29 |
| 8 | Highmark ppo aca fee schedule · both | $358.80 | $358.80 | $358.80 – $358.80 |
| 9 | Highmark ppo/pos fee schedule · both | $358.80 | $358.80 | $358.80 – $358.80 |
| 10 | Highmark traditional fee schedule · both | $358.80 | $358.80 | $358.80 – $358.80 |
| 11 | Tricare commercial percent of total billed charges · bothfrom % of charges | $2,063 | $2,063 | $2,063 – $2,063 |
| 12 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $3,370 | $3,370 | $3,370 – $3,370 |
| 13 | Cigna commercial percent of total billed charges · bothfrom % of charges | $3,405 | $3,405 | $3,405 – $3,405 |
Last updated: Apr 1, 2026
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