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 TRACHEOSTOMY ADULT L98MM OD12.3MM ID9MM WHITE SILICONE SOFT FLEXIBLE TIGHT TO SHAFT CUFF WITH CLIP IN OBTURATOR TWILL TRACH TIE CAP PLUG TTS
Low
$0
Average
$161
Median
$105
High
$582
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
95 hospitals; the 90th percentile is 9.0× 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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105 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 2 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 5 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 6 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 7 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 8 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 9 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 13 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $46 | $61 | 133% | — | $8 – $484 |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $46 | $61 | 133% | — | $8 – $516 |
| 15 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $25 | $48 | $64 | 133% | — | $8 – $529 |
| 16 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $47 | $63 | 133% | — | $8 – $529 |
| 17 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $24 | $47 | $62 | 133% | — | $8 – $529 |
| 18 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $46 | $61 | 134% | — | $8 – $529 |
| 19 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $209 | $302 | $206 | 68% | — | $69 – $716 |
| 20 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $400 | $257 | 64% | — | $117 – $723 |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $400 | $257 | 64% | — | $117 – $723 |
| 22 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $400 | $257 | 64% | — | $117 – $723 |
| 23 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $400 | $257 | 64% | — | $117 – $723 |
| 24 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $400 | $257 | 64% | — | $117 – $723 |
| 25 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $347 | $400 | $257 | 64% | — | $117 – $723 |
← Payers reporting HCPCS A7521 · Snapshot 20261111T120946Z-9134e7f7