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
DALLAS, TX
See all hospitals reporting CPT 42826 →Price type
Med City Spine Hospital’s median price of $5.1k is 49% above the median hospital's median price ($3.5k), higher than 78% 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: 12 payers, 43 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 | UnitedHealthcare chip fee schedule · outpatient | $886.62 | $886.62 | $886.62 – $886.62 |
| 2 | UnitedHealthcare star fee schedule · outpatient | $886.62 | $886.62 | $886.62 – $886.62 |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $886.62 | $886.62 | $886.62 – $886.62 |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $886.62 | $886.62 | $886.62 – $886.62 |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $886.62 | $886.62 | $886.62 – $886.62 |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $930.95 | $930.95 | $930.95 – $930.95 |
| 7 | Superior Healthplan chip case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 8 | Superior Healthplan mcdstar case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 9 | Superior Healthplan starhealth case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 10 | Superior Healthplan starkids case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 11 | Superior Healthplan starplus case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 12 | Molina chip fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 13 | Molina mcdstar fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 14 | Molina star+plus fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 15 | Molina starkids fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 16 | Aetna Better Health chip fee schedule · outpatient | $1,064 | $1,064 | $1,064 – $1,064 |
| 17 | Aetna Better Health mcd fee schedule · outpatient | $1,064 | $1,064 | $1,064 – $1,064 |
| 18 | Humana mgmcd fee schedule · outpatient | $1,108 | $1,108 | $1,108 – $1,108 |
| 19 | Aetna qhphix case rate · outpatient | $2,513 | $2,513 | $2,513 – $2,513 |
| 20 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $3,405 | $3,405 | $3,405 – $3,405 |
| 21 | Aetna newbusiness case rate · outpatient | $3,445 | $3,445 | $3,445 – $3,445 |
| 22 | Healthcare Highways narrownetwork case rate · outpatient | $3,510 | $3,510 | $3,510 – $3,510 |
| 23 | Aetna comm case rate · outpatient | $3,682 | $3,682 | $3,682 – $3,682 |
| 24 | Aetna meritain case rate · outpatient | $3,682 | $3,682 | $3,682 – $3,682 |
| 25 | Aetna oon case rate · outpatient | $4,332 | $4,332 | $4,332 – $4,332 |
Last updated: Mar 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.