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
PR Tonsillectomy Primary or Secondary Age 12 or Older
Waterloo, IA
See all hospitals reporting CPT 42826 →Price type
Covenant Medical Center Inc’s median price of $121 is 97% below the median hospital's median price ($3.5k), higher than 1% 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: 32 payers, 163 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 | Ucare ucare medicaid professional · fee schedule · inpatient | $97.36 | $97.36 | $97.36 – $97.36 |
| 2 | Ucare ucare medicaid professional · fee schedule · outpatient | $97.36 | $97.36 | $97.36 – $97.36 |
| 3 | Aetna aetna medicaid professional · fee schedule · inpatient | $101.25 | $101.25 | $101.25 – $101.25 |
| 4 | Aetna aetna medicaid professional · fee schedule · outpatient | $101.25 | $101.25 | $101.25 – $101.25 |
| 5 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 6 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 7 | Aetna medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 8 | Aetna medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 9 | Anthem medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 10 | Anthem medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 11 | Blue Cross Blue Shield medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 12 | Blue Cross Blue Shield medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 13 | Carefirst medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 14 | Carefirst medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 15 | Caresource medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 16 | Caresource medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 17 | Cigna medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 18 | Cigna medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 19 | Clover medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 20 | Clover medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 21 | Devoted medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 22 | Devoted medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 23 | Excellus medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 24 | Excellus medicare professional · fee schedule · outpatient | $104.39 | $104.39 | $104.39 – $104.39 |
| 25 | Highmark medicare professional · fee schedule · inpatient | $104.39 | $104.39 | $104.39 – $104.39 |
Last updated: Mar 31, 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.