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
PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>
Middlebury, VT
See all hospitals reporting CPT 42826 →Price type
Porter Hospital Inc’s median price of $290 is 92% below the median hospital's median price ($3.5k), higher than 7% 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: 7 payers, 12 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 managed medicaid/essential plans professional · fee schedule · both | $169.56 | $169.56 | $169.56 – $169.56 |
| 2 | Humana tricare professional · fee schedule · both | $232.07 | $232.07 | $232.07 – $232.07 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $244.28 | $244.28 | $244.28 – $244.28 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $244.28 | $244.28 | $244.28 – $244.28 |
| 5 | Bcbs Vt medicare advantage professional · fee schedule · both | $280.92 | $280.92 | $280.92 – $280.92 |
| 6 | Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both | $369.15 | $369.15 | $369.15 – $369.15 |
| 7 | Cigna commercial professional · fee schedule · both | $374.39 | $374.39 | $374.39 – $374.39 |
| 8 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $450.37 | $450.37 | $450.37 – $450.37 |
| 9 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $484.01 | $484.01 | $444.77 – $523.24 |
| 10 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $553.85 | $553.85 | $553.85 – $553.85 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $554.50 | $554.50 | $554.50 – $554.50 |
| 12 | Humana tricare facility · fee schedule · outpatient | $3,081 | $3,081 | $3,081 – $3,081 |
Last updated: Apr 28, 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.