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/>
Saginaw, MI
See all hospitals reporting CPT 42826 →Price type
Covenant Medical Center Inc’s median price of $416 is 88% below the median hospital's median price ($3.5k), higher than 11% 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · fee schedule · both | $224.56 | $224.56 | $224.56 – $224.56 |
| 2 | Bcbs Mi managed medicaid professional · fee schedule · both | $224.56 | $224.56 | $224.56 – $224.56 |
| 3 | Humana ppo medicare advantage professional · fee schedule · both | $224.56 | $224.56 | $224.56 – $224.56 |
| 4 | Molina managed medicaid professional · fee schedule · both | $224.56 | $224.56 | $224.56 – $224.56 |
| 5 | Molina medicare advantage professional · fee schedule · both | $224.56 | $224.56 | $224.56 – $224.56 |
| 6 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $294.75 | $294.75 | $294.75 – $294.75 |
| 7 | Aetna commercial professional · fee schedule · both | $329.36 | $329.36 | $329.36 – $329.36 |
| 8 | MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges | $353.70 | $353.70 | $353.70 – $353.70 |
| 9 | Anthem commercial professional · fee schedule · both | $416.49 | $416.49 | $416.49 – $416.49 |
| 10 | Blue Cross Blue Shield commercial professional · fee schedule · both | $416.49 | $416.49 | $416.49 – $416.49 |
| 11 | Bcbs Mi managed medicaid facility · case rate · outpatient | $1,772 | $1,772 | $1,772 – $1,772 |
| 12 | Molina managed medicaid facility · case rate · outpatient | $1,772 | $1,772 | $1,772 – $1,772 |
| 13 | Anthem commercial facility · fee schedule · outpatient | $3,222 | $3,222 | $3,222 – $3,222 |
| 14 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $3,222 | $3,222 | $3,222 – $3,222 |
| 15 | Aetna medicare advantage facility · case rate · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 16 | Humana ppo medicare advantage facility · case rate · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 17 | Molina medicare advantage facility · case rate · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
Last updated: May 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.