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
SAGINAW, TX
See all hospitals reporting CPT 42826 →Price type
Medical City Alliance’s median price of $5.4k is 56% above the median hospital's median price ($3.5k), higher than 81% 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, 38 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 | Molina chip fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 8 | Molina mcdstar fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 9 | Molina star+plus fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 10 | Molina starkids fee schedule · outpatient | $984.15 | $984.15 | $975.28 – $993.01 |
| 11 | Aetna Better Health chip fee schedule · outpatient | $1,064 | $1,064 | $1,064 – $1,064 |
| 12 | Aetna Better Health mcd fee schedule · outpatient | $1,064 | $1,064 | $1,064 – $1,064 |
| 13 | Humana mgmcd fee schedule · outpatient | $1,108 | $1,108 | $1,108 – $1,108 |
| 14 | Aetna qhphix case rate · outpatient | $2,513 | $2,513 | $2,513 – $2,513 |
| 15 | Aetna newbusiness case rate · outpatient | $3,445 | $3,445 | $3,445 – $3,445 |
| 16 | Healthcare Highways narrownetwork case rate · outpatient | $3,650 | $3,650 | $3,650 – $3,650 |
| 17 | Aetna comm case rate · outpatient | $3,682 | $3,682 | $3,682 – $3,682 |
| 18 | Aetna meritain case rate · outpatient | $3,682 | $3,682 | $3,682 – $3,682 |
| 19 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $3,772 | $3,772 | $3,772 – $3,772 |
| 20 | Aetna oon case rate · outpatient | $4,332 | $4,332 | $4,332 – $4,332 |
| 21 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $4,337 | $4,337 | $4,337 – $4,337 |
| 22 | Oscar hix case rate · outpatient | $5,381 | $5,381 | $5,381 – $5,381 |
| 23 | UnitedHealthcare smallgroup case rate · outpatient | $5,593 | $5,593 | $5,593 – $5,593 |
| 24 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $5,998 | $5,998 | $5,998 – $5,998 |
| 25 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $5,998 | $5,998 | $5,998 – $5,998 |
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.