1104051 — Mic Tube 12-1.5
Cite this view
HANK Price Transparency. (n.d.). Mic Tube 12-1.5 (CDM 1104051) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1104051?code_type=CDM
“Mic Tube 12-1.5 (CDM 1104051) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1104051?code_type=CDM. Accessed .
“Mic Tube 12-1.5 (CDM 1104051) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1104051?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $379–$482 (25th–75th percentile) across 1 hospital · 6 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 1104051 — 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 |
|---|---|---|---|---|---|---|---|
| Hospital For Special Care Outpatient | Aetna | Managed Medicare | $220.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | United HealthCare | Commercial | $268.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | Anthem | Commercial | $377.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | Connecticare | Managed Medicare | $386.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | Connecticare | Commercial | $391.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | Aetna | Commercial | $461.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | Cigna | Commercial | $482.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | CarePartners | HMO | $482.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | CarePartners | Medicare | $482.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |
| Hospital For Special Care Outpatient | Anthem | Medicare Advantage | $522.00 | $536.00 | $536.00 | 2026-04-01 | MRF ↗ |