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
$10
Average
$95
Median
$42
High
$612
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 6.3× 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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66 hospital rates
iThe hospitals that file a Caresource 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 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $64 | $64 | $21 | 32% | — | $43 – $85 |
| 4 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $42 | $42 | $7 | 18% | — | $35 – $50 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $92 | $186 | $127 | 68% | — | $78 – $428 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $205 | $469 | $584 | 125% | — | $47 – $2.9k |
| 8 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $200 | $502 | $609 | 121% | — | $66 – $2.9k |
| 9 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $612 | $756 | 124% | — | $75 – $2.9k |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $188 | $509 | $639 | 126% | — | $39 – $2.9k |
| 11 | Columbus Regional Hospital Columbus, IN per diem · both | 2 | $122 | $122 | — | — | — | $122 – $122 |
| 12 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 2 | $0 | $10 | $14 | 141% | — | $0 – $30 |
| 13 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 2 | $15 | $15 | $15 | 100% | — | $0 – $30 |
| 14 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 2 | $15 | $15 | $15 | 100% | — | $0 – $30 |
| 15 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $15 | $15 | $15 | 100% | — | $0 – $30 |
| 16 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $15 | $15 | $15 | 100% | — | $0 – $30 |
| 17 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $41 | $41 | $8 | 20% | — | $32 – $49 |
| 18 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 19 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $44 | $121 | $240 | 199% | — | $26 – $879 |
| 20 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $40 | $22 | 56% | — | $10 – $68 |
| 21 | Greenbrier Valley Medical Center Ronceverte, WV fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 22 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 2 | $581 | $957 | $947 | 99% | — | $99 – $5.0k |
| 23 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 24 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 25 | HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7