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/>
Weston, FL
See all hospitals reporting CPT 42826 →Price type
Cleveland Clinic Weston Hospital Nonprofit Corporation’s median price of $966 is 72% below the median hospital's median price ($3.5k), higher than 18% 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: 10 payers, 36 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 managed medicaid professional · fee schedule · outpatient | $193.48 | $193.48 | $193.48 – $193.48 |
| 2 | Medicaid managed medicaid professional · fee schedule · outpatient | $199.66 | $199.66 | $199.66 – $199.66 |
| 3 | UnitedHealthcare managed medicaid professional · fee schedule · outpatient | $199.66 | $199.66 | $199.66 – $199.66 |
| 4 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $223.51 | $223.51 | $223.51 – $223.51 |
| 5 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $246.99 | $246.99 | $246.99 – $246.99 |
| 6 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $246.99 | $246.99 | $246.99 – $246.99 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $246.99 | $246.99 | $246.99 – $246.99 |
| 8 | WellCare medicare advantage professional · fee schedule · outpatient | $246.99 | $246.99 | $246.99 – $246.99 |
| 9 | Aetna aetna signature administrators facility · fee schedule · outpatient | $273.39 | $273.39 | $273.39 – $273.39 |
| 10 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $280.37 | $280.37 | $280.37 – $280.37 |
| 11 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $280.37 | $280.37 | $280.37 – $280.37 |
| 12 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $280.37 | $280.37 | $280.37 – $280.37 |
| 13 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $306.27 | $306.27 | $306.27 – $306.27 |
| 14 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $311.21 | $311.21 | $311.21 – $311.21 |
| 15 | UnitedHealthcare all products professional · fee schedule · outpatient | $513.78 | $513.78 | $513.78 – $513.78 |
| 16 | MultiPlan all products professional · percent of total billed charges · outpatientfrom % of charges | $690.00 | $690.00 | $690.00 – $690.00 |
| 17 | Aetna all products first health professional · percent of total billed charges · outpatientfrom % of charges | $966.00 | $966.00 | $966.00 – $966.00 |
| 18 | Optum managed medicaid facility · case rate · outpatient | $1,292 | $1,292 | $1,292 – $1,292 |
| 19 | Medicaid managed medicaid facility · case rate · outpatient | $1,360 | $1,360 | $1,360 – $1,360 |
| 20 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $1,360 | $1,360 | $1,360 – $1,360 |
| 21 | Cigna all products mid-level professional · percent of total billed charges · outpatientfrom % of charges | $1,380 | $1,380 | $1,380 – $1,380 |
| 22 | Cigna all products physician professional · percent of total billed charges · outpatientfrom % of charges | $1,380 | $1,380 | $1,380 – $1,380 |
| 23 | Cigna individual family plan mid-level professional · percent of total billed charges · outpatientfrom % of charges | $1,380 | $1,380 | $1,380 – $1,380 |
| 24 | Cigna individual family plan physician professional · percent of total billed charges · outpatientfrom % of charges | $1,380 | $1,380 | $1,380 – $1,380 |
| 25 | Cigna surefit mid-level professional · percent of total billed charges · outpatientfrom % of charges | $1,380 | $1,380 | $1,380 – $1,380 |
Last updated: Jun 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.