004 SOI 4 — Tracheostomy With Mv >96 Hours With Extensive Procedure
Cite this view
HANK Price Transparency. (n.d.). TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE (APR_DRG 004 SOI 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/004 SOI 4?code_type=APR_DRG
“TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE (APR_DRG 004 SOI 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/004 SOI 4?code_type=APR_DRG. Accessed .
“TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE (APR_DRG 004 SOI 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/004 SOI 4?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $150,251–$165,219 (25th–75th percentile) across 3 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 004 SOI 4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $142,701.06 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $150,251.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $153,097.86 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $153,097.86 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $157,650.70 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $157,650.70 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $161,197.93 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $161,197.93 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $164,445.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $164,445.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $164,445.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $164,445.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $165,991.66 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $165,991.66 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $176,426.85 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $181,673.45 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $326,173.86 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN GOOD SAMARITAN HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $326,173.86 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $343,431.01 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $343,431.01 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $375,876.11 | — | — | 2026-01-01 | MRF ↗ |