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
Tube Larytube Provox Standard 9/55 (Ea)
Low
$56
Average
$397
Median
$121
High
$1.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 19.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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29 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $212 | $360 | $220 | 61% | — | $114 – $788 |
| 4 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 5 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 6 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $107 | $118 | $46 | 39% | — | $4 – $188 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $75 | $82 | $33 | 41% | — | $3 – $138 |
| 9 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $191 | $190 | $38 | 20% | — | $123 – $269 |
| 10 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $323 | $321 | $37 | 11% | — | $275 – $365 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 12 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 13 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 14 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $57 | $124 | $225 | 181% | — | $28 – $1.2k |
| 15 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $2 | 0% | — | $1.2k – $1.2k |
| 16 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $2 | 0% | — | $1.5k – $1.5k |
| 17 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $977 | $977 | $1 | 0% | — | $975 – $978 |
| 18 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | $2 | 0% | — | $1.0k – $1.0k |
| 19 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $2 | 0% | — | $1.4k – $1.4k |
| 20 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $2 | 0% | — | $1.4k – $1.4k |
| 21 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $913 | $913 | $1 | 0% | — | $912 – $914 |
| 22 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | $5 | 5% | — | $88 – $98 |
| 23 | PARKWEST MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 24 | PARKWEST MEDICAL CENTER Louisville, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 25 | ROANE COUNTY MEDICAL CENTER Harriman, TN fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
← Payers reporting HCPCS A7520 · Snapshot 20261111T120946Z-9134e7f7