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 or secondary; age 12 or over
Austin, TX
See all hospitals reporting CPT 42826 →Price type
Heart Hosp Of Austin’s median price of $5.0k is 45% above the median hospital's median price ($3.5k), higher than 77% 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, 39 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Superior Healthplan chip case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 2 | Superior Healthplan chpfc case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 3 | Superior Healthplan star case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 4 | Superior Healthplan starplus case rate · outpatient | $929.00 | $929.00 | $929.00 – $929.00 |
| 5 | Blue Cross Blue Shield chip fee schedule · outpatient | $930.95 | $930.95 | $930.95 – $930.95 |
| 6 | Blue Cross Blue Shield mcd fee schedule · outpatient | $930.95 | $930.95 | $930.95 – $930.95 |
| 7 | UnitedHealthcare mgmcd fee schedule · outpatient | $951.37 | $951.37 | $951.37 – $951.37 |
| 8 | Molina chip fee schedule · outpatient | $975.28 | $975.28 | $975.28 – $975.28 |
| 9 | Molina mcdstar fee schedule · outpatient | $975.28 | $975.28 | $975.28 – $975.28 |
| 10 | Molina star+plus fee schedule · outpatient | $975.28 | $975.28 | $975.28 – $975.28 |
| 11 | Molina starkids fee schedule · outpatient | $975.28 | $975.28 | $975.28 – $975.28 |
| 12 | Humana mgmcd fee schedule · outpatient | $1,108 | $1,108 | $1,108 – $1,108 |
| 13 | Aetna Better Health mcd fee schedule · outpatient | $1,241 | $1,241 | $1,241 – $1,241 |
| 14 | Aetna narrownetwork case rate · outpatient | $3,511 | $3,511 | $3,511 – $3,511 |
| 15 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $4,427 | $4,427 | $4,427 – $4,427 |
| 16 | Cigna newbusinessnetwork case rate · outpatient | $4,704 | $4,704 | $4,704 – $4,704 |
| 17 | Aetna comm case rate · outpatient | $4,863 | $4,863 | $4,863 – $4,863 |
| 18 | Aetna meritain case rate · outpatient | $4,863 | $4,863 | $4,863 – $4,863 |
| 19 | Oscar hix case rate · outpatient | $5,014 | $5,014 | $5,014 – $5,014 |
| 20 | Oscar hmo case rate · outpatient | $5,014 | $5,014 | $5,014 – $5,014 |
| 21 | Cigna hmo case rate · outpatient | $5,019 | $5,019 | $5,019 – $5,019 |
| 22 | Cigna openaccess case rate · outpatient | $5,019 | $5,019 | $5,019 – $5,019 |
| 23 | Cigna openaccessplus case rate · outpatient | $5,019 | $5,019 | $5,019 – $5,019 |
| 24 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $5,108 | $5,108 | $5,108 – $5,108 |
| 25 | Healthcare Highways epo case rate · outpatient | $5,414 | $5,414 | $5,414 – $5,414 |
Last updated: Sep 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.