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
HC Tonsillectomy Primary or Secondary =>12 Years (Restricted Method II CAH)|REDUCED SERVICES
Muskegon, MI
See all hospitals reporting CPT 42826 →Price type
Mercy Health Hackley Campus’s median price of $3.2k is 8% below the median hospital's median price ($3.5k), higher than 37% 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: 13 payers, 17 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 complete medicaid facility · other · outpatient | $1,852 | $1,852 | $1,852 – $1,852 |
| 2 | Molina molina medicaid facility · other · outpatient | $1,888 | $1,888 | $1,888 – $1,888 |
| 3 | Anthem bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 4 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 5 | Carefirst bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 6 | Excellus bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 7 | Highmark bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 8 | Kaiser bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 9 | Premera bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 10 | Regence bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 11 | Wellmark bcbs trad / trust facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 12 | Aetna aetna medicare advantage facility · other · outpatient | $3,467 | $3,467 | $3,467 – $3,467 |
| 13 | Blue Cross Blue Shield bcbs medicare advantage facility · other · outpatient | $3,467 | $3,467 | $3,467 – $3,467 |
| 14 | Molina molina medicare advantage facility · other · outpatient | $3,467 | $3,467 | $3,467 – $3,467 |
| 15 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $3,644 | $3,644 | $3,644 – $3,644 |
| 16 | Oscar oscar epo facility · other · outpatient | $4,529 | $4,529 | $4,529 – $4,529 |
| 17 | Molina molina hmo marketplace facility · other · outpatient | $4,600 | $4,600 | $4,600 – $4,600 |
Last updated: Mar 31, 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.