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
3M $ TONSILLECTOMY 12 AND OVER OR TIME
Washington, DC
See all hospitals reporting CPT 42826 →Price type
Children's National Hospital’s median price of $286 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, 25 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 | UnitedHealthcare managed medicaid professional · fee schedule · both | $220.54 | $220.54 | $212.03 – $229.04 |
| 2 | Anthem medicaid professional · fee schedule · both | $226.82 | $226.82 | $226.82 – $226.82 |
| 3 | Aetna Better Health managed medicaid professional · fee schedule · both | $228.83 | $228.83 | $201.93 – $255.73 |
| 4 | Carefirst managed medicaid professional · fee schedule · both | $242.32 | $242.32 | $242.32 – $242.32 |
| 5 | Kaiser managed medicaid professional · fee schedule · both | $244.61 | $244.61 | $244.61 – $244.61 |
| 6 | Carefirst hmo professional · fee schedule · both | $252.62 | $252.62 | $252.62 – $252.62 |
| 7 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $277.96 | $277.96 | $277.96 – $277.96 |
| 8 | Molina managed medicaid (medallion) professional · fee schedule · both | $277.96 | $277.96 | $277.96 – $277.96 |
| 9 | Carefirst rpn professional · fee schedule · both | $280.69 | $280.69 | $280.69 – $280.69 |
| 10 | Anthem hmo facility · fee schedule · outpatient | $286.06 | $286.06 | $286.06 – $286.06 |
| 11 | Anthem hmx facility · fee schedule · outpatient | $286.06 | $286.06 | $286.06 – $286.06 |
| 12 | Anthem ppo/par facility · fee schedule · outpatient | $286.06 | $286.06 | $286.06 – $286.06 |
| 13 | Aetna commercial professional · fee schedule · both | $302.64 | $302.64 | $302.64 – $302.64 |
| 14 | Anthem hmx professional · fee schedule · both | $387.34 | $387.34 | $387.34 – $387.34 |
| 15 | Anthem hmo professional · fee schedule · both | $421.76 | $421.76 | $421.76 – $421.76 |
| 16 | Anthem ppo/par professional · fee schedule · both | $527.66 | $527.66 | $527.66 – $527.66 |
| 17 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $719.00 | $719.00 | $719.00 – $719.00 |
| 18 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $719.00 | $719.00 | $719.00 – $719.00 |
| 19 | Kaiser commercial professional · percent of total billed charges · bothfrom % of charges | $862.80 | $862.80 | $862.80 – $862.80 |
| 20 | Carefirst hmo facility · fee schedule · outpatient | $6,000 | $6,000 | $6,000 – $6,000 |
| 21 | Carefirst rpn facility · fee schedule · outpatient | $6,000 | $6,000 | $6,000 – $6,000 |
| 22 | UnitedHealthcare all payer facility · fee schedule · outpatient | $6,519 | $6,519 | $6,519 – $6,519 |
| 23 | Aetna commercial facility · fee schedule · outpatient | $6,945 | $6,945 | $6,945 – $6,945 |
| 24 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $7,210 | $7,210 | $7,210 – $7,210 |
| 25 | Cigna oap facility · fee schedule · outpatient | $7,700 | $7,700 | $7,700 – $7,700 |
Last updated: Apr 2, 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.