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Tracheostoma Valve, Including Diaphragm

Pennsylvania rates for HCPCS A7501

Tracheostoma valve, including diaphragm, each

Rates data updated July 2026.

How much does Tracheostoma Valve, Including Diaphragm cost?

$89.13

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$89.13$74.13 to $112
FacilityA hospital or hospital-owned outpatient department$72.44$72.44 to $115

How much rates vary

Facilitymedian $72 · 10th to 90th $72 to $141Professionalmedian $89 · 10th to 90th $65 to $148
$100$1K$10Kfacility $72professional $89

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$138.04
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$89.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$281.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$151.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$114.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$138.04
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$141.25
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$151.36

Where Pennsylvania sits

The same service costs 2.0 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 43rd of 51

$89.13

HI $151CO $74.13

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.