What does code 42826 cost?

Across the published hospital price files, the disclosed cash price for 42826 ranges from $375 to $8,658. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

42826 is the billing code hospitals use to identify "Removal of tonsils" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

42826

HCPCS

Removal of tonsils

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 42826 (Removal of tonsils) appears at 28 hospitals with disclosed cash prices from $375 to $8,658. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 42826 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 42826 vary by about 23× across the 23 hospitals with disclosed prices here — from $375 to $8,658. Shopping around can matter.

Hospitals

Prices shown

$375

Lowest cash

$8,658

Highest cash

code 42826 cash price24 disclosed · 23 hospitals

$375median ~$8,658$8,658

Lowest cash price by hospital

Providence St Joseph Medical Center$375
Orange County Anaheim Medical Center$1,456
Antioch Medical Center$8,658
Fremont Medical Center$8,658
Fresno Medical Center$8,658
Oakland Medical Center$8,658

Cash price by city

Reflects your current filters.

Cash price by city$375 – $8,658

Polson · 1 hospital$375
Anaheim · 1 hospital$1,456
Antioch · 1 hospital$8,658
Fremont · 1 hospital$8,658
Fresno · 1 hospital$8,658
Oakland · 1 hospital$8,658

29 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Removal of tonsils Outpatient	Endeavor Health Edward Hospital	42826 HCPCS	—	—	$792 – $5,724	—
Removal of tonsils Outpatient	University of Chicago Medical Center	42826 HCPCS	—	—	—	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Antioch Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Fremont Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Fresno Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Oakland Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Redwood City Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Richmond Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Roseville Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Sacramento Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	San Francisco Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	San Jose Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	San Leandro Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	San Rafael Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Santa Clara Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Santa Rosa Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
REMOVAL OF TONSILS Outpatient	Texas Health Center for Diagnostics and Surgery Plano	42826 CPT	—	—	$887 – $3,524	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	South Sacramento Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	South San Francisco Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Stockton Medical Center - Manteca	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Stockton Medical Center - Modesto	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Vacaville Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Vallejo Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Walnut Creek Medical Center	42826 CPT	$15,460	$8,658	$3,919 – $12,272	—
TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> Inpatient & outpatient	Orange County Anaheim Medical Center	42826 CPT	$2,800	$1,456	$3,217 – $9,569	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 42826 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Antioch Medical Center Fremont Medical Center Fresno Medical Center Oakland Medical Center Redwood City Medical Center Richmond Medical Center Roseville Medical Center Sacramento Medical Center San Francisco Medical Center San Jose Medical Center San Leandro Medical Center San Rafael Medical Center Santa Clara Medical Center Santa Rosa Medical Center Texas Health Center for Diagnostics and Surgery Plano South Sacramento Medical Center South San Francisco Medical Center Stockton Medical Center - Manteca Stockton Medical Center - Modesto Vacaville Medical Center Vallejo Medical Center Walnut Creek Medical Center Orange County Anaheim Medical Center Providence St Joseph Medical Center Atrium Health Mercy Atrium Health Union

Code 42826: frequently asked

What does code 42826 cost?: Across the published hospital price files, the disclosed cash price for 42826 ranges from $375 to $8,658. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 42826?: 42826 is the billing code hospitals use to identify "Removal of tonsils" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 42826 by state

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