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/>
Marion, IL
See all hospitals reporting CPT 42826 →Price type
Deaconess Regional Healthcare Services Illinois Inc’s median price of $606 is 82% below the median hospital's median price ($3.5k), higher than 14% 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: 10 payers, 29 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 | Molina managed medicaid professional · fee schedule · both | $204.53 | $204.53 | $204.53 – $204.53 |
| 4 | Aetna Better Health managed medicaid professional · fee schedule · both | $212.63 | $212.63 | $212.63 – $212.63 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $244.97 | $244.97 | $244.97 – $244.97 |
| 6 | Aetna Better Health medicare mmp professional · fee schedule · both | $244.97 | $244.97 | $244.97 – $244.97 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $244.97 | $244.97 | $244.97 – $244.97 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $244.97 | $244.97 | $244.97 – $244.97 |
| 9 | WellCare mmai professional · fee schedule · both | $244.97 | $244.97 | $244.97 – $244.97 |
| 10 | Molina mmai professional · fee schedule · both | $247.42 | $247.42 | $247.42 – $247.42 |
| 11 | WellCare medicare advantage professional · fee schedule · both | $252.32 | $252.32 | $252.32 – $252.32 |
| 12 | Humana medicare advantage professional · fee schedule · both | $257.22 | $257.22 | $257.22 – $257.22 |
| 13 | Humana mmai professional · fee schedule · both | $257.22 | $257.22 | $257.22 – $257.22 |
| 14 | Bcbs Il ppo professional · fee schedule · both | $445.62 | $445.62 | $445.62 – $445.62 |
| 15 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $542.79 | $542.79 | $542.79 – $542.79 |
| 16 | UnitedHealthcare commercial professional · percent of total billed charges · bothfrom % of charges | $606.36 | $606.36 | $606.36 – $606.36 |
| 17 | MultiPlan commercial professional · fee schedule · both | $673.36 | $673.36 | $673.36 – $673.36 |
| 18 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $756.97 | $756.97 | $756.97 – $756.97 |
| 19 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $782.40 | $782.40 | $782.40 – $782.40 |
| 20 | First Health commercial professional · percent of total billed charges · bothfrom % of charges | $880.20 | $880.20 | $880.20 – $880.20 |
| 21 | Aetna medicare advantage facility · case rate · outpatient | $3,381 | $3,381 | $3,381 – $3,381 |
| 22 | Bcbs Il medicare advantage facility · case rate · outpatient | $3,381 | $3,381 | $3,381 – $3,381 |
| 23 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3,381 | $3,381 | $3,381 – $3,381 |
| 24 | WellCare mmai facility · case rate · outpatient | $3,381 | $3,381 | $3,381 – $3,381 |
| 25 | Molina mmai facility · case rate · outpatient | $3,414 | $3,414 | $3,414 – $3,414 |
Last updated: Feb 3, 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.