Incision of windpipe for insertion of breathing tube (older than 2 years)
Medicare pricing data for 7,334 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Incision of windpipe for insertion of breathing tube (older than 2 years) (HCPCS code 31600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $289.78, but hospitals typically charge $1,357 — a 4.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $289.78, your out-of-pocket cost would be approximately $57.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $230.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $354 | $2,890 | 15 | 21 | +22.3% |
| New York | $332 | $2,300 | 440 | 1,301 | +14.7% |
| Illinois | $310 | $1,642 | 270 | 657 | +7.0% |
| Maryland | $305 | $1,202 | 168 | 417 | +5.1% |
| Nevada | $304 | $994 | 67 | 160 | +5.0% |
| Hawaii | $304 | $837 | 23 | 29 | +4.8% |
| Florida | $303 | $1,244 | 589 | 1,417 | +4.5% |
| New Jersey | $302 | $1,871 | 207 | 522 | +4.1% |
| District of Columbia | $301 | $1,330 | 49 | 175 | +4.0% |
| Massachusetts | $301 | $1,503 | 180 | 447 | +3.8% |
| Connecticut | $298 | $1,656 | 70 | 154 | +2.9% |
| Montana | $298 | $1,184 | 23 | 41 | +2.7% |
| Maine | $297 | $1,076 | 20 | 40 | +2.6% |
| California | $297 | $1,397 | 762 | 1,962 | +2.4% |
| Delaware | $294 | $1,045 | 34 | 78 | +1.3% |
| New Mexico | $292 | $1,054 | 39 | 62 | +0.8% |
| Washington | $291 | $993 | 137 | 211 | +0.4% |
| Rhode Island | $291 | $1,046 | 19 | 27 | +0.3% |
| New Hampshire | $290 | $2,682 | 31 | 53 | +0.0% |
| Michigan | $290 | $1,016 | 241 | 535 | +0.0% |
| Colorado | $288 | $1,257 | 108 | 169 | -0.7% |
| Virginia | $287 | $1,012 | 169 | 365 | -1.1% |
| Puerto Rico | $286 | $709 | 17 | 21 | -1.4% |
| Louisiana | $286 | $1,166 | 136 | 280 | -1.5% |
| Pennsylvania | $285 | $1,420 | 363 | 760 | -1.7% |
| West Virginia | $284 | $1,077 | 45 | 86 | -2.0% |
| Georgia | $283 | $1,154 | 228 | 579 | -2.2% |
| Texas | $282 | $1,197 | 577 | 1,278 | -2.6% |
| Missouri | $282 | $1,202 | 178 | 368 | -2.8% |
| Idaho | $281 | $1,017 | 29 | 43 | -3.2% |
| Arizona | $280 | $978 | 144 | 273 | -3.5% |
| Ohio | $279 | $1,279 | 300 | 654 | -3.8% |
| Kentucky | $278 | $955 | 145 | 302 | -4.1% |
| Oklahoma | $271 | $857 | 89 | 263 | -6.5% |
| Tennessee | $271 | $1,056 | 184 | 448 | -6.6% |
| North Dakota | $268 | $1,174 | 21 | 43 | -7.5% |
| Wisconsin | $266 | $2,818 | 104 | 168 | -8.1% |
| South Carolina | $266 | $1,262 | 137 | 279 | -8.1% |
| Minnesota | $265 | $1,615 | 108 | 250 | -8.7% |
| Indiana | $264 | $1,003 | 133 | 281 | -8.8% |
| Utah | $264 | $878 | 33 | 56 | -8.8% |
| Mississippi | $264 | $1,253 | 87 | 216 | -9.0% |
| North Carolina | $262 | $1,216 | 201 | 391 | -9.6% |
| Arkansas | $261 | $887 | 66 | 231 | -9.9% |
| Nebraska | $259 | $939 | 42 | 69 | -10.5% |
| Alabama | $257 | $1,093 | 114 | 318 | -11.2% |
| South Dakota | $257 | $1,058 | 13 | 24 | -11.3% |
| Kansas | $253 | $996 | 42 | 101 | -12.8% |
| Iowa | $251 | $1,617 | 50 | 96 | -13.5% |
| Oregon | $244 | $997 | 55 | 104 | -15.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber