Tonsil removal surgery for patients aged 12 and over at Deaconess Health System Gibson General Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>

Princeton, IN

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How this price compares nationally

Deaconess Health System Gibson General Hospital’s median price of $329 is 90% below the median hospital's median price ($3.5k), higher than 8% of the 1,919 hospitals reporting CPT 42826. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 42826 at Deaconess Health System Gibson General Hospital

Negotiated rates from the hospital’s own file: 9 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	Bcbs Il managed medicaid professional · fee schedule · both	$202.50	$202.50	$202.50 – $202.50
2	WellCare managed medicaid professional · fee schedule · both	$202.50	$202.50	$202.50 – $202.50
3	Aetna medicare advantage professional · fee schedule · both	$234.86	$234.86	$234.86 – $234.86
4	Anthem medicare advantage professional · fee schedule · both	$234.86	$234.86	$234.86 – $234.86
5	Bcbs Il medicare advantage professional · fee schedule · both	$234.86	$234.86	$234.86 – $234.86
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$234.86	$234.86	$234.86 – $234.86
7	WellCare dual medicare/medicaid professional · fee schedule · both	$234.86	$234.86	$234.86 – $234.86
8	WellCare medicare advantage professional · fee schedule · both	$234.86	$234.86	$234.86 – $234.86
9	Anthem managed medicaid professional · fee schedule · both	$236.54	$236.54	$236.54 – $236.54
10	Caresource managed medicaid professional · fee schedule · both	$236.54	$236.54	$236.54 – $236.54
11	UnitedHealthcare managed medicaid professional · fee schedule · both	$236.54	$236.54	$236.54 – $236.54
12	Caresource commercial professional · fee schedule · both	$270.09	$270.09	$234.86 – $305.32
13	Ambetter commercial professional · fee schedule · both	$293.58	$293.58	$293.58 – $293.58
14	Anthem commercial professional · fee schedule · both	$347.82	$310.17	$234.86 – $347.82
15	UnitedHealthcare commercial professional · fee schedule · both	$442.54	$442.54	$442.54 – $442.54
16	Aetna commercial professional · fee schedule · both	$680.96	$680.96	$680.96 – $680.96
17	Cigna commercial professional · fee schedule · both	$680.96	$680.96	$680.96 – $680.96
18	First Health commercial professional · fee schedule · both	$680.96	$680.96	$680.96 – $680.96

Last updated: Feb 11, 2026

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