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/>
Burlington, VT
See all hospitals reporting CPT 42826 →Price type
University of Vermont Medical Center Inc’s median price of $257 is 93% below the median hospital's median price ($3.5k), higher than 5% 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, 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 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $155.09 | $155.09 | $155.09 – $155.09 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $206.86 | $206.86 | $190.09 – $223.63 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $222.52 | $222.52 | $222.52 – $222.52 |
| 4 | Excellus medicare advantage professional · fee schedule · both | $223.63 | $223.63 | $223.63 – $223.63 |
| 5 | Humana tricare professional · fee schedule · both | $225.96 | $225.96 | $207.64 – $244.28 |
| 6 | Excellus managed medicaid/essential plans professional · fee schedule · both | $237.56 | $237.56 | $237.56 – $237.56 |
| 7 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $484.01 | $484.01 | $444.77 – $523.24 |
| 8 | Excellus commercial professional · fee schedule · both | $652.54 | $652.54 | $652.54 – $652.54 |
| 9 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $806.84 | $806.84 | $806.84 – $806.84 |
| 10 | Bcbs Vt indemnity professional · fee schedule · both | $928.09 | $928.09 | $928.09 – $928.09 |
| 11 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $928.09 | $928.09 | $928.09 – $928.09 |
| 12 | Cigna commercial professional · fee schedule · both | $928.09 | $928.09 | $928.09 – $928.09 |
| 13 | UnitedHealthcare commercial professional · fee schedule · both | $1,139 | $1,139 | $1,139 – $1,139 |
Last updated: Oct 12, 2026
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