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
Removal of Tonsils,12+ Y/O
Towson, MD
See all hospitals reporting CPT 42826 →Price type
Greater Baltimore Medical Center’s median price of $276 is 92% below the median hospital's median price ($3.5k), higher than 6% 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, 20 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 pb aetna better health of maryland professional · fee schedule · inpatient | $201.93 | $201.93 | $201.93 – $201.93 |
| 2 | Medicaid pb medicaid facility and non facility professional · fee schedule · inpatient | $201.93 | $201.93 | $201.93 – $201.93 |
| 3 | UnitedHealthcare pb united community care reimbursement contract professional · fee schedule · inpatient | $201.93 | $201.93 | $201.93 – $201.93 |
| 4 | Aetna pb aetna commercial reimbursement contract professional · fee schedule · inpatient | $250.14 | $250.14 | $250.14 – $250.14 |
| 5 | Aetna pb aetna medicare reimbursement contract professional · fee schedule · both | $250.14 | $250.14 | $250.14 – $250.14 |
| 6 | Carefirst pb carefirst medicare advantage ppo professional · fee schedule · both | $276.36 | $276.36 | $276.36 – $276.36 |
| 7 | Cigna pb cigna healthspring-medicare professional · fee schedule · both | $276.36 | $276.36 | $276.36 – $276.36 |
| 8 | Humana pb humana medicare advantage professional · fee schedule · both | $276.36 | $276.36 | $276.36 – $276.36 |
| 9 | Medicare pb medicare reimbursement professional · fee schedule · both | $276.36 | $276.36 | $276.36 – $276.36 |
| 10 | UnitedHealthcare pb united medicare fac and non facility professional · fee schedule · both | $276.36 | $276.36 | $276.36 – $276.36 |
| 11 | Carefirst pb carefirst bc facility and non facility specialists professional · fee schedule · inpatient | $277.95 | $277.95 | $277.95 – $277.95 |
| 12 | Aetna pb aetna commercial reimbursement contract professional · fee schedule · outpatient | $289.07 | $289.07 | $289.07 – $289.07 |
| 13 | Carefirst pb carefirst rpn fac and non facility specialists professional · fee schedule · inpatient | $302.26 | $302.26 | $302.26 – $302.26 |
| 14 | Cigna pb cigna commercial professional · fee schedule · outpatient | $347.90 | $347.90 | $347.90 – $347.90 |
| 15 | UnitedHealthcare pb united commercial mamsi and non options facility and non facility professional · fee schedule · outpatient | $351.15 | $351.15 | $351.15 – $351.15 |
| 16 | First Health pb first health (aetna) professional · fee schedule · both | $359.27 | $359.27 | $359.27 – $359.27 |
| 17 | MultiPlan pb multiplan insurances professional · fee schedule · both | $359.27 | $359.27 | $359.27 – $359.27 |
| 18 | Kaiser pb kaiser reimbursement contract professional · fee schedule · both | $389.67 | $389.67 | $389.67 – $389.67 |
| 19 | Carefirst pb carefirst bc facility and non facility specialists professional · fee schedule · outpatient | $490.00 | $490.00 | $490.00 – $490.00 |
| 20 | Carefirst pb carefirst rpn fac and non facility specialists professional · fee schedule · outpatient | $490.00 | $490.00 | $490.00 – $490.00 |
Last updated: Jul 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.