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/SECONDARY AGE 12/>
Newburgh, IN
See all hospitals reporting CPT 42826 →Price type
Deaconess Hospital, Inc’s median price of $352 is 90% below the median hospital's median price ($3.5k), higher than 10% 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: 13 payers, 43 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 | Aetna Better Health managed medicaid professional · fee schedule · both | $205.05 | $205.05 | $202.50 – $207.59 |
| 3 | Molina managed medicaid professional · fee schedule · both | $205.05 | $205.05 | $202.50 – $207.59 |
| 4 | Humana managed medicaid professional · fee schedule · both | $207.59 | $207.59 | $207.59 – $207.59 |
| 5 | WellCare managed medicaid professional · fee schedule · both | $207.59 | $207.59 | $207.59 – $207.59 |
| 6 | UnitedHealthcare managed medicaid professional · fee schedule · both | $222.07 | $222.07 | $207.59 – $236.54 |
| 7 | Anthem commercial professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 8 | Anthem medicare advantage professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 9 | Caresource medicare advantage professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 10 | Humana commercial professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 11 | Humana medicare advantage professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 12 | Molina dual medicare/medicaid professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 13 | Molina medicare advantage professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $234.86 | $234.86 | $234.86 – $234.86 |
| 15 | Anthem managed medicaid professional · fee schedule · both | $236.54 | $236.54 | $236.54 – $236.54 |
| 16 | Caresource managed medicaid professional · fee schedule · both | $236.54 | $236.54 | $236.54 – $236.54 |
| 17 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $239.56 | $239.56 | $239.56 – $239.56 |
| 18 | Bcbs Il medicare advantage professional · fee schedule · both | $239.56 | $239.56 | $239.56 – $239.56 |
| 19 | Ambetter commercial professional · fee schedule · both | $270.09 | $270.09 | $270.09 – $270.09 |
| 20 | Caresource commercial professional · fee schedule · both | $305.32 | $305.32 | $305.32 – $305.32 |
| 21 | Anthem hmo professional · fee schedule · both | $347.82 | $347.82 | $347.82 – $347.82 |
| 22 | Anthem hmo/ppo/traditional professional · fee schedule · both | $347.82 | $347.82 | $347.82 – $347.82 |
| 23 | UnitedHealthcare commercial professional · fee schedule · both | $442.54 | $373.31 | $234.86 – $442.54 |
| 24 | Aetna commercial professional · fee schedule · both | $680.96 | $680.96 | $680.96 – $680.96 |
| 25 | Cigna commercial professional · fee schedule · both | $680.96 | $680.96 | $680.96 – $680.96 |
Last updated: Feb 13, 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.