Tracheostomy tube, 16mm

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TUBE TRACHEOSTOMY ADULT L98MM OD12.3MM ID9MM WHITE SILICONE SOFT FLEXIBLE TIGHT TO SHAFT CUFF WITH CLIP IN OBTURATOR TWILL TRACH TIE CAP PLUG TTS

Payers reporting HCPCS A7521

Payer pricing summary

Low

$35

Average

$171

Median

$166

High

$359

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	349	$68	$79	$145	185%	—	$1 – $3.7k
2	Humana fee schedule · outpatient · +20 other terms	321	$67	$91	$115	126%	—	$1 – $1.4k
3	Aetna fee schedule · outpatient · +22 other terms	284	$68	$101	$127	126%	—	$1 – $1.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	220	$68	$89	$68	76%	—	$0 – $831
5	WellCare fee schedule · outpatient · +11 other terms	184	$69	$70	$10	15%	—	$66 – $131
6	Devoted fee schedule · outpatient · +7 other terms	162	$67	$67	$1	2%	—	$64 – $71
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$69	$69	$1	1%	—	$67 – $72
8	Molina fee schedule · outpatient · +16 other terms	99	$95	$95	$82	86%	—	$1 – $981
9	Cigna fee schedule · outpatient · +20 other terms	88	$69	$155	$241	156%	—	$9 – $3.8k
10	Anthem fee schedule · outpatient · +19 other terms	77	$66	$46	$21	46%	—	$4 – $109
11	Kaiser fee schedule · outpatient · +16 other terms	42	$66	$109	$119	109%	—	$64 – $725
12	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$70	$70	$0	0%	—	$66 – $70
13	Clover fee schedule · outpatient · +3 other terms	37	$67	$67	$1	1%	—	$66 – $70
14	MultiPlan fee schedule · outpatient · +15 other terms	36	$268	$392	$419	107%	—	$1 – $2.0k
15	Caresource fee schedule · outpatient · +10 other terms	34	$67	$79	$27	35%	—	$1 – $122
16	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$62	$63	$19	29%	—	$46 – $230
17	Medica fee schedule · outpatient · +12 other terms	28	$139	$165	$128	77%	—	$11 – $605
18	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	26	$330	$167	$173	104%	—	$3 – $646
19	Optum fee schedule · outpatient · +11 other terms	26	$67	$83	$42	50%	—	$64 – $220
20	Oscar fee schedule · outpatient · +8 other terms	24	$66	$68	$2	3%	—	$66 – $70
21	Medcost percent of total billed charges · bothfrom % of charges · +6 other terms	22	$384	$565	$244	43%	—	$153 – $1.1k
22	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	18	$122	$123	$164	133%	—	$21 – $1.4k
23	Medicare fee schedule · outpatient · +7 other terms	18	$64	$65	$1	1%	—	$64 – $66
24	Phcs fee schedule · inpatient · +8 other terms	18	$231	$356	$392	110%	—	$23 – $1.9k
25	Amerihealth Caritas fee schedule · outpatient · +7 other terms	16	$80	$80	$2	2%	—	$76 – $80

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