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)
Dubuque, IA
See all hospitals reporting CPT 42826 →Price type
Mercy Medical Center - Dubuque’s median price of $7 is 100% below the median hospital's median price ($3.5k), higher than 0% 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 | Anthem wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 2 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 3 | Carefirst wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 4 | Excellus wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 5 | Highmark wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 6 | Kaiser wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 7 | Premera wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 8 | Regence wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 9 | Wellmark wellmark hmo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 10 | Wellmark wellmark ppo facility · fee schedule · outpatient | $7.38 | $7.38 | $7.38 – $7.38 |
| 11 | Molina molina medicaid facility · other · outpatient | $3,004 | $3,004 | $3,004 – $3,004 |
| 12 | Aetna aetna medicare advantage facility · other · outpatient | $3,230 | $3,230 | $3,230 – $3,230 |
| 13 | Wellmark wellmark medicare advantage facility · other · outpatient | $3,262 | $3,262 | $3,262 – $3,262 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $3,295 | $3,295 | $3,295 – $3,295 |
| 15 | Oscar oscar facility · other · outpatient | $4,496 | $4,496 | $4,496 – $4,496 |
| 16 | Ambetter ambetter marketplace facility · other · outpatient | $5,537 | $5,537 | $5,537 – $5,537 |
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.