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 University Hospital - Jeanes Campus’s median price of $3.8k is 11% above the median hospital's median price ($3.5k), higher than 60% 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: 9 payers, 19 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 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $3,485 | $3,485 | $3,485 – $3,485 |
| 2 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $3,485 | $3,485 | $3,485 – $3,485 |
| 3 | Humana medicare advantage facility · fee schedule · outpatient | $3,485 | $3,485 | $3,485 – $3,485 |
| 4 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $3,485 | $3,485 | $3,485 – $3,485 |
| 5 | Highmark medicare advantage facility · fee schedule · outpatient | $3,555 | $3,555 | $3,555 – $3,555 |
| 6 | Aetna coventry facility · fee schedule · outpatient | $3,589 | $3,589 | $3,589 – $3,589 |
| 7 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $3,659 | $3,659 | $3,659 – $3,659 |
| 8 | Clover medicare advantage facility · fee schedule · outpatient | $3,694 | $3,694 | $3,694 – $3,694 |
| 9 | Aetna medicare advantage facility · fee schedule · outpatient | $3,764 | $3,764 | $3,764 – $3,764 |
| 10 | UnitedHealthcare commercial facility · case rate · outpatient | $4,300 | $4,300 | $4,300 – $4,300 |
| 11 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $4,356 | $4,356 | $4,356 – $4,356 |
| 12 | Cigna commercial facility · fee schedule · outpatient | $4,597 | $4,597 | $4,597 – $4,597 |
| 13 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $4,668 | $4,668 | $4,668 – $4,668 |
| 14 | Bcbs Pa indemnity facility · fee schedule · outpatient | $4,987 | $4,987 | $4,987 – $4,987 |
| 15 | Aetna commercial facility · case rate · outpatient | $5,100 | $5,100 | $5,100 – $5,100 |
| 16 | Aetna first health facility · case rate · outpatient | $5,100 | $5,100 | $5,100 – $5,100 |
| 17 | Aetna workers' comp facility · case rate · outpatient | $5,100 | $5,100 | $5,100 – $5,100 |
| 18 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $5,227 | $5,227 | $5,227 – $5,227 |
| 19 | Highmark commercial facility · fee schedule · outpatient | $11,103 | $11,103 | $11,103 – $11,103 |
Last updated: Apr 13, 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.