Gastrostomy feeding tube, 14 French, 1.5 cm

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TUBE GASTROSTOMY FEEDING 26FR BALLOON 7-10ML SILICONE TAPERED RECESSED DISTAL TIP RADIOPAQUE STRIPE SECUR LOK EXTERNAL RETENTION RING WITH CONNECTOR

Payers reporting HCPCS B4087

Payer pricing summary

Low

Average

$281

Median

$213

High

$996

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +16 other terms	239	$35	$106	$176	166%	—	$12 – $1.4k
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	133	$35	$38	$108	288%	—	$1 – $1.3k
3	Aetna fee schedule · outpatient · +19 other terms	108	$36	$96	$142	148%	—	$5 – $1.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	70	$74	$78	$61	78%	—	$0 – $691
5	Cigna fee schedule · outpatient · +20 other terms	60	$51	$88	$157	180%	—	$19 – $1.5k
6	Anthem fee schedule · outpatient · +18 other terms	58	$35	$19	$11	56%	—	$3 – $95
7	MultiPlan fee schedule · outpatient · +14 other terms	51	$169	$387	$372	96%	—	$26 – $1.6k
8	Medica fee schedule · outpatient · +13 other terms	31	$81	$106	$125	118%	—	$12 – $893
9	Molina case rate · outpatient · +15 other terms	31	$34	$37	$6	16%	—	$32 – $47
10	Kaiser fee schedule · outpatient · +13 other terms	29	$35	$162	$248	153%	—	$35 – $1.4k
11	Regence fee schedule · outpatient · +7 other terms	25	$41	$53	$22	41%	—	$26 – $300
12	Caresource fee schedule · outpatient · +10 other terms	22	$32	$35	$7	21%	—	$29 – $74
13	Devoted fee schedule · outpatient · +7 other terms	21	$35	$37	$3	9%	—	$35 – $43
14	WellCare fee schedule · outpatient · +11 other terms	21	$32	$33	$2	6%	—	$22 – $43
15	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	20	$572	$587	$502	85%	—	$74 – $5.0k
16	Phcs fee schedule · inpatient · +8 other terms	19	$169	$272	$243	89%	—	$25 – $1.1k
17	Medicare fee schedule · outpatient · +4 other terms	18	$35	$35	—	—	—	$35 – $35
18	Optum fee schedule · outpatient · +9 other terms	17	$35	$424	$508	120%	—	$35 – $1.8k
19	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	16	$130	$131	$4	3%	—	$126 – $139
20	Premera fee schedule · outpatient · +2 other terms	16	$62	$61	$11	18%	—	$36 – $300
21	Highmark facility · fee schedule · outpatient · +8 other terms	14	$187	$208	$116	56%	—	$17 – $498
22	Aetna Better Health fee schedule · outpatient · +6 other terms	13	$30	$28	$5	19%	—	$16 – $32
23	Wellmark fee schedule · both · +3 other terms	13	$41	$41	$2	4%	—	$32 – $41
24	Ambetter case rate · outpatient · +11 other terms	12	$47	$50	$5	10%	—	$47 – $66
25	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$36	$37	$10	26%	—	$18 – $44

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