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)
Mason City, IA
See all hospitals reporting CPT 42826 →Price type
Mercy Health Services-Iowa Corp.’s median price of $3.4k is 2% below the median hospital's median price ($3.5k), higher than 48% 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: 14 payers, 16 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 | Molina molina medicaid facility · other · outpatient | $3,239 | $3,239 | $3,239 – $3,239 |
| 2 | Anthem wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 3 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 4 | Carefirst wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 5 | Excellus wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 6 | Highmark wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 7 | Kaiser wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 8 | Premera wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 9 | Regence wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 10 | Wellmark wellmark hmo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 11 | Wellmark wellmark ppo facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 12 | Aetna aetna medicare advantage facility · other · outpatient | $3,502 | $3,502 | $3,502 – $3,502 |
| 13 | Wellmark wellmark medicare advantage facility · other · outpatient | $3,537 | $3,537 | $3,537 – $3,537 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $3,572 | $3,572 | $3,572 – $3,572 |
| 15 | Oscar oscar facility · other · outpatient | $4,710 | $4,710 | $4,710 – $4,710 |
| 16 | Ambetter ambetter marketplace facility · other · outpatient | $6,004 | $6,004 | $6,004 – $6,004 |
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.