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
Lake City 55041-1143
See all hospitals reporting CPT 42826 →Price type
Mayo Clinic Health System’s median price of $1.5k is 57% 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, 77 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 | Ucare ucare msho medicare advantage plan [946] professional · fee schedule · outpatient | $91.06 | $91.06 | $91.06 – $91.06 |
| 2 | Ucare ucare connect medicare advantage plan [945] professional · fee schedule · outpatient | $98.20 | $98.20 | $98.20 – $98.20 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $111.59 | $111.59 | $111.59 – $111.59 |
| 4 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $114.94 | $114.94 | $114.94 – $114.94 |
| 5 | Medica medica advantage solution [790] professional · fee schedule · outpatient | $114.94 | $114.94 | $114.94 – $114.94 |
| 6 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $117.17 | $117.17 | $117.17 – $117.17 |
| 7 | Blue Cross Blue Shield & swwi bcbs platinum blue medicare advantage plan [943] professional · fee schedule · outpatient | $117.17 | $117.17 | $117.17 – $117.17 |
| 8 | Medica medica dual solution msho medicare advantage plan [1003] professional · fee schedule · outpatient | $117.17 | $117.17 | $117.17 – $117.17 |
| 9 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $167.38 | $167.38 | $167.38 – $167.38 |
| 10 | Blue Cross Blue Shield blue cross blue shield federal retiree [1124] professional · fee schedule · outpatient | $223.17 | $223.17 | $223.17 – $223.17 |
| 11 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $223.17 | $223.17 | $223.17 – $223.17 |
| 12 | Medica medica medicare advantage plan msho msc+ cah [173] facility · fee schedule · both | $252.10 | $252.10 | $252.10 – $252.10 |
| 13 | Blue Cross Blue Shield anthem medicare advantage plan cah [1232] facility · fee schedule · both | $265.16 | $265.16 | $265.16 – $265.16 |
| 14 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan cah [1012] facility · fee schedule · both | $274.13 | $274.13 | $274.13 – $274.13 |
| 15 | Medica medica advantage solution medicare advantage plan cah [799] facility · fee schedule · both | $274.13 | $274.13 | $274.13 – $274.13 |
| 16 | Ucare ucare essentia care medicare advantage plan cah [785] facility · fee schedule · both | $274.13 | $274.13 | $274.13 – $274.13 |
| 17 | Ucare ucare medicare advantage plan msho cah [398] facility · fee schedule · both | $287.84 | $287.84 | $287.84 – $287.84 |
| 18 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $334.76 | $334.76 | $334.76 – $334.76 |
| 19 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $346.32 | $346.32 | $346.32 – $346.32 |
| 20 | Ucare ucare connect medicaid cah [1178] facility · percent of total billed charges · bothfrom % of charges | $346.32 | $346.32 | $346.32 – $346.32 |
| 21 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $707.63 | $707.63 | $707.63 – $707.63 |
| 22 | 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 |
| 23 | Medica medica complete health and engage [209] professional · percent of total billed charges · outpatientfrom % of charges | $732.60 | $732.60 | $732.60 – $732.60 |
| 24 | Anthem blue cross blue shield [1235] professional · percent of total billed charges · outpatientfrom % of charges | $749.25 | $749.25 | $749.25 – $749.25 |
| 25 | Blue Cross Blue Shield blue cross blue shield [1235] professional · percent of total billed charges · outpatientfrom % of charges | $749.25 | $749.25 | $749.25 – $749.25 |
Last updated: Mar 31, 2026
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