005 SOI-4 — Tracheostomy With Mv >96 Hours Without Extensive Procedure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE (OTHER 005 SOI-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/005 SOI-4?code_type=OTHER
MLA (9th ed.)
“TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE (OTHER 005 SOI-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/005 SOI-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE (OTHER 005 SOI-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/005 SOI-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $162,665–$173,862 (25th–75th percentile) across 5 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 005 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 |
|---|---|---|---|---|---|---|---|
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $155,187.57 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $155,187.57 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $155,187.57 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $155,187.57 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $157,427.16 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $157,427.16 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $158,291.32 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $158,291.32 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $158,657.94 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $158,853.64 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $158,853.64 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $159,475.39 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $159,475.39 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $159,843.20 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $159,843.20 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $160,575.70 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $160,887.33 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $161,831.10 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Anthem | Medicaid Advantage | $161,892.06 | — | — | 2026-08-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Humana | Medicaid Advantage | $161,892.06 | — | — | 2026-08-01 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $162,030.72 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $162,149.97 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $162,664.89 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $162,664.89 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $163,417.68 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $163,619.25 | — | — | 2026-07-15 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $163,846.35 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $163,846.35 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $163,846.35 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $163,846.35 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $164,105.08 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Anthem | Medicaid Advantage | $164,157.10 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $164,259.65 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $164,259.65 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $165,004.26 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | United | Medicaid Advantage | $165,129.90 | — | — | 2026-08-01 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $165,713.95 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $165,854.40 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $165,854.40 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $166,590.84 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $166,748.82 | — | — | 2026-08-01 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $167,123.28 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $167,123.28 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $167,322.82 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | United | Medicaid Advantage | $167,440.24 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $167,449.16 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $167,449.16 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $168,155.13 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $168,155.13 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $168,761.74 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $168,761.74 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $168,931.70 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $169,081.81 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $170,706.33 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $170,706.33 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $170,706.33 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $170,706.33 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $170,706.33 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $170,706.33 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Humana | Medicaid Advantage | $170,723.38 | — | — | 2026-07-15 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $171,518.23 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $171,518.23 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Aetna | Medicaid Advantage | $172,364.95 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $173,169.87 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $173,169.87 | — | — | 2026-07-15 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $173,169.87 | — | — | 2026-07-15 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $173,199.78 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $173,199.78 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $174,523.74 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $174,739.01 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $174,739.01 | — | — | 2026-07-15 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $174,739.01 | — | — | 2026-07-15 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $174,881.33 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $174,881.33 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $175,422.92 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $175,422.92 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $176,562.88 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $176,562.88 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $176,976.06 | — | — | 2026-07-15 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $178,081.27 | — | — | 2026-08-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Aetna | Medicaid Advantage | $178,081.27 | — | — | 2026-08-01 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $178,081.27 | — | — | 2026-08-01 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $180,230.99 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $180,230.99 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $180,230.99 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $180,230.99 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $180,230.99 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $180,230.99 | — | — | 2026-05-13 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $180,572.81 | — | — | 2026-07-15 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $184,970.64 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $184,970.64 | — | — | 2026-05-22 | MRF ↗ |