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
REMOVAL OF TONSILS
Enterprise, AL
See all hospitals reporting CPT 42826 →Price type
QHG of Enterprise Inc’s median price of $2.9k is 16% below the median hospital's median price ($3.5k), higher than 27% 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: 12 payers, 18 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 | Bcbs Al bcbs al all facility · other · outpatient | $2,638 | $2,638 | $2,638 – $2,638 |
| 2 | Blue Cross Blue Shield node bcbs al mcr adv facility · fee schedule · outpatient | $2,812 | $2,812 | $2,812 – $2,812 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $2,812 | $2,812 | $2,812 – $2,812 |
| 4 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $2,812 | $2,812 | $2,812 – $2,812 |
| 5 | Optum node united optum va ccn facility · fee schedule · outpatient | $2,857 | $2,857 | $2,857 – $2,857 |
| 6 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $2,868 | $2,868 | $2,868 – $2,868 |
| 7 | Clover node clover mcr adv facility · fee schedule · outpatient | $2,886 | $2,886 | $2,886 – $2,886 |
| 8 | UnitedHealthcare uhc iex facility · case rate · outpatient | $2,886 | $2,886 | $2,886 – $2,886 |
| 9 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $2,896 | $2,896 | $2,896 – $2,896 |
| 10 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $2,915 | $2,915 | $2,915 – $2,915 |
| 11 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $4,286 | $4,286 | $4,286 – $4,286 |
| 12 | UnitedHealthcare uhc apa facility · case rate · outpatient | $4,325 | $4,325 | $4,325 – $4,325 |
| 13 | Cigna cigna new business facility · fee schedule · outpatient | $4,643 | $4,643 | $4,643 – $4,643 |
| 14 | Tricare node tricare facility · fee schedule · outpatient | $11,885 | $11,885 | $11,885 – $11,885 |
| 15 | Cigna cigna all facility · fee schedule · outpatient | $30,294 | $30,294 | $30,294 – $30,294 |
| 16 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $54,534 | $54,534 | $54,534 – $54,534 |
| 17 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $57,650 | $57,650 | $57,650 – $57,650 |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $59,987 | $59,987 | $59,987 – $59,987 |
Last updated: Apr 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.