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/>
Miami, FL
See all hospitals reporting CPT 42826 →Price type
University Of Miami Hosp & Clinics’s median price of $7.9k is 128% above the median hospital's median price ($3.5k), higher than 93% 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: 6 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 medicare facility · fee schedule · outpatient | $3,387 | $3,387 | $3,387 – $3,387 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $3,658 | $3,658 | $3,658 – $3,658 |
| 3 | Humana medicare facility · fee schedule · outpatient | $3,845 | $3,845 | $3,845 – $3,845 |
| 4 | UnitedHealthcare hix facility · case rate · outpatient | $7,274 | $7,274 | $7,274 – $7,274 |
| 5 | Molina hix facility · percent of total billed charges · outpatientfrom % of charges | $7,732 | $7,732 | $7,732 – $7,732 |
| 6 | UnitedHealthcare commercial facility · case rate · outpatient | $7,866 | $7,866 | $7,866 – $7,866 |
| 7 | Florida Blue sbn/mbn facility · case rate · outpatient | $11,564 | $11,564 | $11,564 – $11,564 |
| 8 | Cigna localplus/surefit facility · percent of total billed charges · outpatientfrom % of charges | $12,035 | $12,035 | $12,035 – $12,035 |
| 9 | Florida Blue hmo facility · case rate · outpatient | $13,903 | $13,903 | $13,903 – $13,903 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14,270 | $14,270 | $14,270 – $14,270 |
| 11 | Florida Blue nwb facility · case rate · outpatient | $16,051 | $16,051 | $16,051 – $16,051 |
| 12 | Florida Blue ppo/phs facility · case rate · outpatient | $17,620 | $17,620 | $17,620 – $17,620 |
Last updated: Mar 25, 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.