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, >= 12 YRS, PRO
Elkins, WV
See all hospitals reporting CPT 42826 →Price type
Davis Medical Center’s median price of $236 is 93% below the median hospital's median price ($3.5k), higher than 3% 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, 18 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 | Aetna Better Health managed medicaid professional · fee schedule · both | $170.89 | $170.89 | $170.89 – $170.89 |
| 2 | Highmark managed medicaid professional · fee schedule · both | $170.89 | $170.89 | $170.89 – $170.89 |
| 3 | Aetna Better Health managed medicaid facility · fee schedule · outpatient | $191.74 | $191.74 | $191.74 – $191.74 |
| 4 | Highmark managed medicaid facility · case rate · outpatient | $191.74 | $191.74 | $191.74 – $191.74 |
| 5 | Humana medicare advantage professional · fee schedule · both | $224.86 | $224.86 | $224.86 – $224.86 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $224.86 | $224.86 | $224.86 – $224.86 |
| 7 | Highmark medicare advantage professional · fee schedule · both | $236.10 | $236.10 | $236.10 – $236.10 |
| 8 | Aetna medicare advantage professional · fee schedule · both | $247.35 | $247.35 | $247.35 – $247.35 |
| 9 | Aetna commercial professional · fee schedule · both | $274.76 | $274.76 | $274.76 – $274.76 |
| 10 | First Health commercial professional · fee schedule · both | $274.76 | $274.76 | $274.76 – $274.76 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $314.80 | $314.80 | $314.80 – $314.80 |
| 12 | Highmark commercial professional · fee schedule · both | $368.51 | $368.51 | $368.51 – $368.51 |
| 13 | Cigna commercial professional · fee schedule · both | $382.73 | $382.73 | $382.73 – $382.73 |
| 14 | MultiPlan commercial professional · fee schedule · both | $449.72 | $449.72 | $449.72 – $449.72 |
| 15 | Highmark medicare advantage facility · case rate · outpatient | $3,149 | $3,149 | $3,149 – $3,149 |
| 16 | Aetna medicare advantage facility · case rate · outpatient | $3,180 | $3,180 | $3,180 – $3,180 |
| 17 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3,180 | $3,180 | $3,180 – $3,180 |
| 18 | Humana medicare advantage facility · case rate · outpatient | $3,308 | $3,308 | $3,308 – $3,308 |
Last updated: Jul 30, 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.