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 PRIM/SEC >=12YR
Fairmont 56031-4575
See all hospitals reporting CPT 42826 →Price type
Mayo Clinic Health System’s median price of $1.5k is 56% below the median hospital's median price ($3.5k), higher than 21% 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: 15 payers, 69 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 | Blue Cross Blue Shield blue cross blue shield mncare contract [1410] professional · fee schedule · outpatient | $101.04 | $101.04 | $101.04 – $101.04 |
| 2 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $111.59 | $111.59 | $111.59 – $111.59 |
| 3 | Medica medicaid medica msc [1414] professional · fee schedule · outpatient | $117.17 | $117.17 | $117.17 – $117.17 |
| 4 | Blue Cross Blue Shield blue cross blue shield federal retiree [1124] professional · fee schedule · outpatient | $223.17 | $223.17 | $223.17 – $223.17 |
| 5 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $223.17 | $223.17 | $223.17 – $223.17 |
| 6 | Medica medica medicare advantage plan minnesota senior health options msc+ cap [1073] facility · fee schedule · both | $287.84 | $287.84 | $287.84 – $287.84 |
| 7 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $334.76 | $334.76 | $334.76 – $334.76 |
| 8 | Healthpartners medicaid critical access hospital healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $346.32 | $346.32 | $346.32 – $346.32 |
| 9 | Ucare pps medicaid ucare [1186] facility · percent of total billed charges · bothfrom % of charges | $346.32 | $346.32 | $346.32 – $346.32 |
| 10 | Blue Cross Blue Shield blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $707.63 | $707.63 | $707.63 – $707.63 |
| 11 | Medica deanhp by medica west mc hmo [1262] professional · percent of total billed charges · outpatientfrom % of charges | $732.60 | $732.60 | $732.60 – $732.60 |
| 12 | Medica medica complete health and engage [209] professional · percent of total billed charges · outpatientfrom % of charges | $732.60 | $732.60 | $732.60 – $732.60 |
| 13 | Blue Cross Blue Shield blue cross blue shield fep [867] professional · percent of total billed charges · outpatientfrom % of charges | $736.02 | $736.02 | $736.02 – $736.02 |
| 14 | Anthem blue cross blue shield [237] professional · percent of total billed charges · outpatientfrom % of charges | $749.25 | $749.25 | $749.25 – $749.25 |
| 15 | Blue Cross Blue Shield blue cross blue shield [237] professional · percent of total billed charges · outpatientfrom % of charges | $749.25 | $749.25 | $749.25 – $749.25 |
| 16 | Medica medica non mayo employee group [763] professional · percent of total billed charges · outpatientfrom % of charges | $749.25 | $749.25 | $749.25 – $749.25 |
| 17 | Medica medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $782.55 | $782.55 | $782.55 – $782.55 |
| 18 | Aetna aetna [214] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 19 | Aetna all other plans [214] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 20 | Blue Cross Blue Shield blue cross blue shield tiered network [890] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 21 | Cigna all other plans [287] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 22 | First Health aetna [214] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 23 | Healthpartners cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 24 | Humana cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
| 25 | Medcost cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $790.88 | $790.88 | $790.88 – $790.88 |
Last updated: Mar 31, 2026
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