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
Oceanside, CA
See all hospitals reporting CPT 42826 →Price type
Tri-City Medical Center’s median price of $4.3k is 23% above the median hospital's median price ($3.5k), higher than 69% 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: 8 payers, 13 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 Ca covered california facility · fee schedule · outpatient | $3,196 | $3,196 | $3,196 – $3,196 |
| 2 | MultiPlan auto medical facility · fee schedule · outpatient | $3,731 | $3,731 | $3,731 – $3,731 |
| 3 | Aetna medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 4 | Anthem medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 5 | Bcbs Ca medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 6 | Humana medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 7 | Kaiser hmo facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 8 | Kaiser medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 9 | Molina medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $4,264 | $4,264 | $4,264 – $4,264 |
| 11 | Molina covered california ppo facility · fee schedule · outpatient | $5,757 | $5,757 | $5,757 – $5,757 |
| 12 | Aetna commercial facility · case rate · outpatient | $6,640 | $6,640 | $6,640 – $6,640 |
| 13 | MultiPlan workers comp facility · fee schedule · outpatient | $6,892 | $6,892 | $6,892 – $6,892 |
Last updated: May 29, 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.