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
TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER
Philadelphia, PA
See all hospitals reporting CPT 42826 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $3.5k is 2% above the median hospital's median price ($3.5k), higher than 52% 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, 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.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare community plan facility · case rate · outpatient | $2,354 | $2,354 | $2,354 – $2,354 |
| 2 | UnitedHealthcare commercial facility · case rate · outpatient | $2,656 | $2,656 | $2,656 – $2,656 |
| 3 | UnitedHealthcare chip facility · case rate · outpatient | $2,661 | $2,661 | $2,661 – $2,661 |
| 4 | Cigna commercial facility · case rate · outpatient | $3,289 | $3,289 | $3,289 – $3,289 |
| 5 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $3,406 | $3,406 | $3,406 – $3,406 |
| 6 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $3,406 | $3,406 | $3,406 – $3,406 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $3,406 | $3,406 | $3,406 – $3,406 |
| 8 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $3,406 | $3,406 | $3,406 – $3,406 |
| 9 | Highmark medicare advantage facility · fee schedule · outpatient | $3,474 | $3,474 | $3,474 – $3,474 |
| 10 | Humana medicare advantage facility · fee schedule · outpatient | $3,508 | $3,508 | $3,508 – $3,508 |
| 11 | Cigna medicare hmo facility · fee schedule · outpatient | $3,542 | $3,542 | $3,542 – $3,542 |
| 12 | Cigna medicare ppo facility · fee schedule · outpatient | $3,542 | $3,542 | $3,542 – $3,542 |
| 13 | Aetna medicare advantage facility · fee schedule · outpatient | $3,679 | $3,679 | $3,679 – $3,679 |
| 14 | Bcbs Pa indemnity facility · fee schedule · outpatient | $3,982 | $3,982 | $3,982 – $3,982 |
| 15 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $4,148 | $4,148 | $4,148 – $4,148 |
| 16 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $4,366 | $4,366 | $4,366 – $4,366 |
| 17 | Aetna commercial facility · case rate · outpatient | $5,350 | $5,350 | $5,350 – $5,350 |
| 18 | Highmark commercial facility · fee schedule · outpatient | $10,853 | $10,853 | $10,853 – $10,853 |
Last updated: Apr 8, 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.