Price AtlasInteractive atlas · All states · techysurgeon.comTonsillectomy (age 12+) in San Francisco Bay Area CA
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 |
|---|---|---|---|
| Good Samaritan Hospital median $7,098 · local Medicare $4,877 · file 2026-09-01 | |||
| Aetna | $8,740 | 1.8× | 3 |
| Blue Shield of California | $14,666 | 3.0× | 2 |
| Bright Health | $4,850 | 1.0× | 1 |
| Cigna | $7,098 | 1.5× | 4 |
| Elevance/Anthem/Empire | $5,606 | 1.1× | 2 |
| MedCare Partners | $4,877 | 1.0× | 1 |
| MultiPlan/PHCS (rental network) | $3,439 | 0.7× | 1 |
| UnitedHealthcare | $9,414 | 1.9× | 1 |
| Stanford Health Care Tri-Valley median $7,494 · local Medicare $4,682 · file 2026-04-01 | |||
| Aetna | $7,945 | 1.7× | 2 |
| Blue Shield of California | $10,480 | 2.2× | 2 |
| Cigna | $6,448 | 1.4× | 1 |
| UnitedHealthcare | $7,042 | 1.5× | 1 |
| John Muir Medical Center - Walnut Creek Campus median $8,567 · local Medicare $4,682 · file 2026-03-23 | |||
| Aetna | $10,694 | 2.3× | 4 |
| Alignment Health | $4,682 | 1.0× | 1 |
| BCBS (other) | $27,619 | 5.9× | 1 |
| Blue Shield of California | $15,800 | 3.4× | 5 |
| Brms | $27,619 | 5.9× | 1 |
| Canopy Hn HMO | $8,567 | 1.8× | 1 |
| Cigna | $16,526 | 3.5× | 3 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $4,682 | 1.0× | 1 |
| Donor Network West | $4,000 | 0.9× | 1 |
| Elevance/Anthem/Empire | $27,619 | 5.9× | 7 |
| Essence Healthcare | $4,682 | 1.0× | 2 |
| Generic Commercial/Indemnity | $5,852 | 1.2× | 1 |
| Generic HMO | $5,852 | 1.2× | 1 |
| Generic PPO | $5,852 | 1.2× | 1 |
| UnitedHealthcare | $27,670 | 5.9× | 7 |
| John Muir Medical Center - Concord Campus median $8,567 · local Medicare $4,682 · file 2026-03-23 | |||
| Aetna | $10,694 | 2.3× | 4 |
| Alignment Health | $4,682 | 1.0× | 1 |
| BCBS (other) | $27,619 | 5.9× | 2 |
| Blue Shield of California | $16,356 | 3.5× | 6 |
| Brms | $27,619 | 5.9× | 1 |
| Canopy Hn HMO | $8,567 | 1.8× | 1 |
| Cigna | $16,526 | 3.5× | 3 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $4,682 | 1.0× | 1 |
| Donor Network West | $4,000 | 0.9× | 1 |
| Elevance/Anthem/Empire | $27,619 | 5.9× | 7 |
| Essence Healthcare | $4,682 | 1.0× | 2 |
| Generic Commercial/Indemnity | $5,852 | 1.2× | 1 |
| Generic HMO | $5,852 | 1.2× | 1 |
| Generic PPO | $5,852 | 1.2× | 1 |
| UnitedHealthcare | $27,670 | 5.9× | 7 |
| St Mary's Medical Center median $10,378 · local Medicare $4,792 · file 2026-04-01 | |||
| Aetna | $11,564 | 2.4× | 1 |
| Blue Shield of California | $10,378 | 2.2× | 1 |
| Elevance/Anthem/Empire | $18,054 | 3.8× | 2 |
| Healthnet | $8,660 | 1.8× | 1 |
| Heritage Provider Network | $4,797 | 1.0× | 2 |
| Kaiser Permanente | $10,814 | 2.3× | 1 |
| UnitedHealthcare | $4,632 | 1.0× | 2 |
| Stanford Health Care median $22,041 · local Medicare $4,877 · file 2026-04-01 | |||
| Aetna | $34,690 | 7.1× | 1 |
| Elevance/Anthem/Empire | $21,946 | 4.5× | 1 |
| UnitedHealthcare | $22,041 | 4.5× | 1 |
Questions
How much does tonsillectomy (age 12+) cost with commercial insurance in San Francisco Bay Area CA?
6 San Francisco Bay Area CA hospitals post usable commercial rates for CPT 42826, hospital outpatient. The median across hospitals is $8,567; hospital medians range from $7,098 to $22,041. Your cost depends on your plan's deductible and coinsurance.