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
Menomonie, WI
See all hospitals reporting CPT 42826 →Price type
Mayo Clinic Health System’s median price of $1.4k is 61% below the median hospital's median price ($3.5k), higher than 20% 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: 11 payers, 31 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 [1106] professional · fee schedule · outpatient | $88.15 | $88.15 | $88.15 – $88.15 |
| 2 | Ucare ucare connect medicare advantage plan [1107] professional · fee schedule · outpatient | $95.06 | $95.06 | $95.06 – $95.06 |
| 3 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $108.02 | $108.02 | $108.02 – $108.02 |
| 4 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $111.26 | $111.26 | $111.26 – $111.26 |
| 5 | Blue Cross Blue Shield anthem medicare advantage plan hmo [1236] professional · fee schedule · outpatient | $113.42 | $113.42 | $113.42 – $113.42 |
| 6 | Optum united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $117.17 | $117.17 | $117.17 – $117.17 |
| 7 | UnitedHealthcare united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $117.17 | $117.17 | $117.17 – $117.17 |
| 8 | UnitedHealthcare united healthcare medicare advantage plan complete [1401] professional · fee schedule · outpatient | $120.51 | $120.51 | $120.51 – $120.51 |
| 9 | Medica medica part b medicare advantage plan [495] professional · fee schedule · outpatient | $128.33 | $128.33 | $128.33 – $128.33 |
| 10 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $216.04 | $216.04 | $216.04 – $216.04 |
| 11 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $1,004 | $1,004 | $1,004 – $1,004 |
| 12 | Blue Cross Blue Shield nwwi anthem hmo and pos [54] professional · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 13 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 14 | Medica nwwi medica engage ifb [1300] professional · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 15 | Medica nwwi medica non mayo employee group [762] professional · percent of total billed charges · outpatientfrom % of charges | $1,186 | $1,186 | $1,186 – $1,186 |
| 16 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $1,256 | $1,256 | $1,256 – $1,256 |
| 17 | UnitedHealthcare multi uhc [266] professional · percent of total billed charges · outpatientfrom % of charges | $1,283 | $1,283 | $1,283 – $1,283 |
| 18 | Medica nwwi medica ifb [1077] professional · percent of total billed charges · outpatientfrom % of charges | $1,318 | $1,318 | $1,318 – $1,318 |
| 19 | Medica rcmc medica choice [204] professional · percent of total billed charges · outpatientfrom % of charges | $1,318 | $1,318 | $1,318 – $1,318 |
| 20 | Aetna multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $1,332 | $1,332 | $1,332 – $1,332 |
| 21 | First Health multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $1,332 | $1,332 | $1,332 – $1,332 |
| 22 | Medical Mutual multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $1,332 | $1,332 | $1,332 – $1,332 |
| 23 | Medcost rcmc phcs healtheos [311] professional · percent of total billed charges · outpatientfrom % of charges | $1,353 | $1,353 | $1,353 – $1,353 |
| 24 | Medical Mutual rcmc phcs healtheos [311] professional · percent of total billed charges · outpatientfrom % of charges | $1,353 | $1,353 | $1,353 – $1,353 |
| 25 | Sanford Health Plan rcmc phcs healtheos [311] professional · percent of total billed charges · outpatientfrom % of charges | $1,353 | $1,353 | $1,353 – $1,353 |
Last updated: Aug 14, 2026
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