Price AtlasInteractive atlas · All states · techysurgeon.comTonsillectomy (age 12+) in Pittsburgh PA
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 42826
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Upmc Mercy median $2,716 · local Medicare $3,229 · file 2026-03-06 | |||
| Highmark BCBS | $2,716 | 0.8× | 4 |
| Upmc East median $3,523 · local Medicare $3,229 · file 2026-03-06 | |||
| Highmark BCBS | $3,523 | 1.1× | 5 |
| Upmc Washington median $5,644 · local Medicare $3,229 · file 2026-03-06 | |||
| Aetna | $4,870 | 1.5× | 2 |
| Highmark BCBS | $6,418 | 2.0× | 6 |
| Jefferson Hospital median $7,600 · local Medicare $3,229 · file 2026-04-14 | |||
| Aetna | $7,600 | 2.4× | 1 |
| Cigna | $7,674 | 2.4× | 2 |
| Highmark BCBS | $4,158 | 1.3× | 13 |
| Humana | $3,307 | 1.0× | 1 |
| UnitedHealthcare | $10,220 | 3.2× | 1 |
| Allegheny Valley Hospital median $7,875 · local Medicare $3,229 · file 2026-04-14 | |||
| Aetna | $7,875 | 2.4× | 1 |
| Cigna | $8,884 | 2.8× | 2 |
| Highmark BCBS | $5,297 | 1.6× | 14 |
| Humana | $3,307 | 1.0× | 1 |
| UnitedHealthcare | $9,602 | 3.0× | 2 |
| Forbes Hospital median $8,892 · local Medicare $3,229 · file 2026-04-14 | |||
| Aetna | $8,892 | 2.8× | 1 |
| Cigna | $9,110 | 2.8× | 2 |
| Highmark BCBS | $4,679 | 1.4× | 14 |
| Humana | $3,307 | 1.0× | 1 |
| UnitedHealthcare | $9,602 | 3.0× | 2 |
| Ahn Wexford Hospital median $9,484 · local Medicare $3,229 · file 2026-04-14 | |||
| Aetna | $9,484 | 2.9× | 1 |
| Cigna | $10,352 | 3.2× | 2 |
| Highmark BCBS | $4,719 | 1.5× | 14 |
| Humana | $3,307 | 1.0× | 1 |
| UnitedHealthcare | $10,110 | 3.1× | 2 |
| Allegheny General Hospital median $10,352 · local Medicare $3,229 · file 2026-04-14 | |||
| Aetna | $10,427 | 3.2× | 1 |
| Cigna | $10,352 | 3.2× | 2 |
| Highmark BCBS | $5,974 | 1.9× | 14 |
| Humana | $3,307 | 1.0× | 1 |
| UnitedHealthcare | $10,602 | 3.3× | 2 |
Questions
How much does tonsillectomy (age 12+) cost with commercial insurance in Pittsburgh PA?
8 Pittsburgh PA hospitals post usable commercial rates for CPT 42826, hospital outpatient. The median across hospitals is $7,738; hospital medians range from $2,716 to $10,352. Your cost depends on your plan's deductible and coinsurance.