2023 Cost Information for Ambulatory Surgery (Same Day)
Note: Visit our Copayment and Cost-Share Information page to view 2022 costs.
Ambulatory surgery costs apply to same day surgery in an outpatient hospital setting or ambulatory surgery center.
- TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.
- TRICARE Young Adult costs are based on the sponsor's status.
- Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.
- The copayments below are for facility fees. There is no separate copayment for professional fees.
A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:
- Group A: Sponsor's enlistment or appointment date occurred prior to Jan. 1, 2018.
- Group B: Sponsor's enlistment or appointment date occurred on or after Jan. 1, 2018.
TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult
| Active Duty Family Members |
Retirees and Their Family Members |
|---|
Group A: $0
Group B: $0
|
Group A: $73
Group B: $73
|
TRICARE Select (not including TRICARE Young Adult)
| Active Duty Family Members |
Retirees and Their Family Members |
|---|
Group A:
Network Provider: $25
Non-Network Provider: $25
Group B:
Network Provider: $30
Non-Network Provider: 20%
|
Group A:
Network Provider: 20%
Non-Network Provider: 25%
Group B:
Network Provider: $115
Non-Network Provider: 25%
|
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
| TRS |
TRR |
|---|
Network Provider: $30
Non-Network Provider: 20% |
Network Provider: $115
Non-Network Provider: 25% |
TRICARE Young Adult (TYA)
| TYA Prime |
TYA Select |
|---|
| Active Duty Family Members |
Retiree Family Members |
Active Duty Family Members |
Retiree Family Members |
| $0 |
$73 |
Network Provider: $30
Non-Network Provider: 20% |
Network Provider: $115
Non-Network Provider: 25% |
