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 Primary/Secondary Age 12/>
LAFAYETTE, IN
See all hospitals reporting CPT 42826 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $16.7k is 384% above the median hospital's median price ($3.5k), higher than 100% 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: 5 payers, 9 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 | Medicaid in mcd-wir-lafayette fee schedule · outpatient | $2,274 | $2,274 | $2,274 – $2,274 |
| 2 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · outpatient | $2,728 | $2,728 | $2,728 – $2,728 |
| 3 | Medicare medicare-wir-lafayette other · outpatient | $6,263 | $6,263 | $6,263 – $6,263 |
| 4 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · outpatient | $15,145 | $15,145 | $15,145 – $15,145 |
| 5 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette other · outpatient | $18,314 | $18,314 | $18,314 – $18,314 |
| 6 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette other · outpatient | $20,748 | $20,748 | $20,748 – $20,748 |
| 7 | Bcbs Il anthem blue access ppo with copps - lafayette other · outpatient | $23,182 | $23,182 | $23,182 – $23,182 |
| 8 | Bcbs In anthem blue access ppo with copps - lafayette other · outpatient | $23,182 | $23,182 | $23,182 – $23,182 |
| 9 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette other · outpatient | $23,182 | $23,182 | $23,182 – $23,182 |
Last updated: Jan 1, 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.