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.
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
Low
$0
Average
$510
Median
$145
High
$9.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
275 hospitals; the 90th percentile is 17.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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379 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $24 | $30 | $23 | 77% | 580–5,800 | $3 – $157 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $538 | $861 | $838 | 97% | 164–1,046 | $37 – $5.1k |
| 3 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $143 | $251 | $240 | 96% | 101–1,010 | $43 – $1.4k |
| 4 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 1 | $318 | $355 | $340 | 96% | 82–820 | $29 – $2.1k |
| 5 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $318 | $355 | $340 | 96% | 82–820 | $29 – $2.1k |
| 6 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $892 | $895 | $545 | 61% | 80–800 | $153 – $2.1k |
| 7 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $171 | $265 | $220 | 83% | 49–490 | $31 – $1.3k |
| 8 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $171 | $265 | $220 | 83% | 49–490 | $31 – $1.3k |
| 9 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 3 | $542 | $655 | $526 | 80% | 32–320 | $37 – $1.8k |
| 10 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $590 | $722 | $529 | 73% | 15 | $125 – $2.2k |
| 11 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $39 | $37 | $6 | 17% | 4–40 | $27 – $43 |
| 12 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $64 | $61 | $10 | 17% | 3–30 | $45 – $72 |
| 13 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $146 | $134 | $33 | 24% | — | $42 – $160 |
| 15 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $77 | $159 | $149 | 94% | — | $32 – $378 |
| 16 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $75 | $141 | $137 | 97% | — | $21 – $378 |
| 17 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $36 | $74 | $69 | 93% | — | $15 – $171 |
| 18 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $77 | $159 | $149 | 94% | — | $32 – $378 |
| 19 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $77 | $159 | $149 | 94% | — | $32 – $378 |
| 20 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 2 | $77 | $159 | $149 | 94% | — | $32 – $378 |
| 21 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $75 | $135 | $135 | 100% | — | $18 – $378 |
| 22 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $56 | $55 | $1 | 2% | — | $54 – $56 |
| 24 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $169 | $168 | $9 | 5% | — | $156 – $178 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7