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Tonsillectomy (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 · insurerRate× MedicarePlans
Stanford Health Care Tri-Valley median $7,494 · local Medicare $4,682 · file 2026-04-01
Aetna$7,9451.7×2
Blue Shield of California$10,4802.2×2
Cigna$6,4481.4×1
UnitedHealthcare$7,0421.5×1
Good Samaritan Hospital median $8,740 · local Medicare $4,877 · file 2026-09-01
Aetna$8,7401.8×3
Blue Shield of California$14,6663.0×2
Cigna$7,0981.5×4
Elevance/Anthem/Empire$5,6061.1×2
MultiPlan/PHCS (rental network)$3,4390.7×1
UnitedHealthcare$9,4141.9×1
St Mary's Medical Center median $10,814 · local Medicare $4,792 · file 2026-04-01
Aetna$11,5642.4×1
Blue Shield of California$10,3782.2×1
Elevance/Anthem/Empire$18,0543.8×2
Kaiser Permanente$10,8142.3×1
UnitedHealthcare$4,6321.0×2
Stanford Health Care median $22,041 · local Medicare $4,877 · file 2026-04-01
Aetna$34,6907.1×1
Elevance/Anthem/Empire$21,9464.5×1
UnitedHealthcare$22,0414.5×1
John Muir Medical Center - Walnut Creek Campus median $22,072 · local Medicare $4,682 · file 2026-03-23
Aetna$10,6942.3×4
BCBS (other)$27,6195.9×1
Blue Shield of California$15,8003.4×5
Cigna$16,5263.5×3
Elevance/Anthem/Empire$27,6195.9×7
UnitedHealthcare$27,6705.9×7
John Muir Medical Center - Concord Campus median $22,072 · local Medicare $4,682 · file 2026-03-23
Aetna$10,6942.3×4
BCBS (other)$27,6195.9×2
Blue Shield of California$16,3563.5×6
Cigna$16,5263.5×3
Elevance/Anthem/Empire$27,6195.9×7
UnitedHealthcare$27,6705.9×7

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 $16,428; hospital medians range from $7,494 to $22,072. Your cost depends on your plan's deductible and coinsurance.