10104 — Tube Oral Rae W Cuff 8.0
Cite this view
HANK Price Transparency. (n.d.). TUBE ORAL RAE W CUFF 8.0 (CPT 10104) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10104?code_type=CPT
“TUBE ORAL RAE W CUFF 8.0 (CPT 10104) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10104?code_type=CPT. Accessed .
“TUBE ORAL RAE W CUFF 8.0 (CPT 10104) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10104?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12–$365 (25th–75th percentile) across 5 hospitals · 48 payers.
“Negotiated” is what insurers actually pay hospitals for this CPT 10104 — the consumer-grade median across the country.
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 |
|---|---|---|---|---|---|---|---|
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Health Options Inc | Bcbs Health Options Medicare | $3.16 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $3.16 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Careplus | Careplus | $4.00 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Aetna Health | Aetna Medicare | $4.99 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Msmc | Cigna | $6.99 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Humana | Humana Humx | $7.16 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Oscar Health (Hie) | Oscar Health (Hie) | $7.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Dimension Health | Dimension Plus | $7.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Aetna Health | Aetna Workers Comp | $7.83 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | United Healthcare | United Healthcare | $7.99 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | United Healthcare | United Options Ppo | $9.82 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Dimension Health | Dimension International | $9.99 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Aetna Health | Aetna | $10.82 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Care Management Network | Care Management Network | $10.82 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Careworks Workers Comp | Careworks Workers Comp | $11.24 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Corvel Healthcare | Corvel Healthcare | $11.61 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Cigna Behavioral Health | Cigna Behavioral Health | $11.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Beech Street | Beech Street | $11.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Behavioral Services Network | Behavioral Services Network | $11.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Dimension Health | Dimension | $11.66 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Coventry | Coventry | $11.82 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Blue Cross Blue Shield Of Florida | Bcbs Workers Compensation | $12.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Multiplan | Multiplan | $12.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Workmans Compensation | Workmans Compensation | $12.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Seasons Hospice | Seasons Hospice | $12.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Beech Street | Beech Street | $12.49 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Wellcare | Wellcare | $14.15 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | First Health Network | First Health | $14.15 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Aetna International Ppo | Aetna International Ppo | $14.15 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Devoted Medicare | Nch Devoted Medicare Med Onc | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | United Healthcare | United Behavioral | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | United Healthcare | United Behavioral Medicaid | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | United Healthcare | United Behavioral Medicare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Tricare | Tricare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Value Options | Value Options Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Magellan Behavioral Health | Magellan Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Humana Behavioral Health | Humana Behavioral Health Medicare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Humana Behavioral Health | Humana Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Blue Cross Blue Shield Of Florida | Bcbs Rehab Ppo | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Mental Health Associates | Mental Health Associates | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Miscellaneous Insurances | Miscellaneous Insurances | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Devoted Medicare | Nch Devoted Medicare Rad Onc | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Concordia Behavioral Health | Concordia Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Management Systems | Nch Simply Medicare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Management Systems | Nch Humana Medicare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Management Systems | Nch Coventry Medicare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Nch Management Systems | Nch Careplus Medicare | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | New Directions Behavioral Health | New Directions Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | University Of Miami Behavioral Health | University Of Miami Behavioral Health | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Vitas Healthcare Of Fl | Vitas | $16.65 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Medicaid Hmo Apr Drg | Medicaid Hmo Apr Drg | $129.72 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC | Magellan Complete Care | Magellan Complete Care | $138.80 | $16.65 | $16.65 | 2026-05-22 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Peak Health | Commercial | $288.23 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Peak Health | Commercial | $326.65 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Aetna | Commercial | $345.87 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Cigna | Commercial | $349.71 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | United Healthcare | Commercial | $363.55 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Phcs Multiplan | Commercial | $365.08 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Caresource | Wv Marketplace | $365.08 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Healthsmart | Commercial | $365.08 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Firsthealth | Commercial | $365.08 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER | Zelis Network | Commercial | $365.08 | $384.30 | $384.30 | 2026-05-06 | MRF ↗ |
| Sheltering Arms Hospital South | MEDCOST/VHN LINK | HMO/PPO | $561.60 | $624.00 | $624.00 | 2026-01-01 | MRF ↗ |
| Sheltering Arms Hospital South | SENTARA COMMUNITY PLAN | MCO | $624.00 | $624.00 | $624.00 | 2026-01-01 | MRF ↗ |
| Sheltering Arms Hospital South | MOLINA MEDICAID | MCO | $624.00 | $624.00 | $624.00 | 2026-01-01 | MRF ↗ |
| Sheltering Arms Hospital South | ANTHEM HEALTHKEEPERS PLUS | MCO | $624.00 | $624.00 | $624.00 | 2026-01-01 | MRF ↗ |
| Sheltering Arms Hospital South | AETNA BETTER HEALTH | MCO | $624.00 | $624.00 | $624.00 | 2026-01-01 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Pruitthealth Premier Plan | Medicare | $1,461.96 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Anthem Bcbs Medicare Plan | Medicare | $1,461.96 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Medicare Plan | Medicare | $1,461.96 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Wellcare Plan | Medicare | $1,461.96 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Uhc Medicare Plan | Medicare | $1,461.96 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Humana Medicare Plan | Medicare | $1,461.96 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Caresource Medicaid Plan | Medicaid | $1,485.54 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Amerigroup Medicaid Plan | Medicaid | $1,485.54 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Medicaid Plan | Medicaid | $1,485.54 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Peachstate Medicaid Plan | Medicaid | $1,485.54 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Humana Plan | Commercial | $1,886.40 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Aetna Plan | Commercial | $1,886.40 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Uhc Plan | Commercial | $1,886.40 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL | Cigna Plan | Commercial | $2,004.30 | $2,358.00 | $1,650.60 | 2026-05-06 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY | United Healthcare | HMO/POS/PPO | $4,344.00 | — | — | 2026-04-30 | MRF ↗ |