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
REMOVAL OF TONSILS
Toms River, NJ
See all hospitals reporting CPT 42826 →Price type
Community Medical Center’s median price of $5.0k is 46% above the median hospital's median price ($3.5k), higher than 78% 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: 7 payers, 17 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 | Bcbs Nj nj health fee schedule · outpatient | $189.62 | $189.62 | $189.62 – $189.62 |
| 2 | Aetna medicare fee schedule · outpatient | $3,544 | $3,544 | $3,544 – $3,544 |
| 3 | Bcbs Nj medicare advantage fee schedule · outpatient | $3,544 | $3,544 | $3,544 – $3,544 |
| 4 | Clover medicare advantage fee schedule · outpatient | $3,544 | $3,544 | $3,544 – $3,544 |
| 5 | Humana medicare fee schedule · outpatient | $3,544 | $3,544 | $3,544 – $3,544 |
| 6 | UnitedHealthcare medicare fee schedule · outpatient | $3,615 | $3,615 | $3,615 – $3,615 |
| 7 | UnitedHealthcare oxford metro case rate · outpatient | $3,811 | $3,811 | $3,811 – $3,811 |
| 8 | Cigna local plus case rate · outpatient | $3,962 | $3,962 | $3,962 – $3,962 |
| 9 | UnitedHealthcare nexus case rate · outpatient | $4,288 | $4,288 | $4,288 – $4,288 |
| 10 | UnitedHealthcare oxford commercial case rate · outpatient | $4,484 | $4,484 | $4,484 – $4,484 |
| 11 | Cigna hmo case rate · outpatient | $5,034 | $5,034 | $5,034 – $5,034 |
| 12 | UnitedHealthcare commercial case rate · outpatient | $5,045 | $5,045 | $5,045 – $5,045 |
| 13 | Cigna ppo case rate · outpatient | $5,302 | $5,302 | $5,302 – $5,302 |
| 14 | Aetna hmo case rate · outpatient | $6,680 | $6,680 | $6,680 – $6,680 |
| 15 | Aetna ppo case rate · outpatient | $6,680 | $6,680 | $6,680 – $6,680 |
| 16 | WellCare ambetter health commercial fee schedule · outpatient | $7,053 | $7,053 | $7,053 – $7,053 |
| 17 | Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges | $12,665 | $12,665 | $12,665 – $12,665 |
Last updated: Mar 4, 2026
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