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
$495
Median
$177
High
$10.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
355 hospitals; the 90th percentile is 18.6× 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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487 hospital rates
iThe hospitals that file a Cigna 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 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $460 | $625 | $386 | 62% | 77–770 | $108 – $1.4k |
| 2 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $543 | $649 | $467 | 72% | 52–520 | $115 – $1.7k |
| 3 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $747 | $1.0k | $911 | 87% | 49–490 | $171 – $5.3k |
| 4 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 6 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 7 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 8 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 12 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $243 | $243 | $80 | 33% | — | $163 – $324 |
| 14 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 3 | $66 | $75 | $16 | 21% | — | $63 – $98 |
| 16 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 4 | $86 | $88 | $20 | 23% | — | $63 – $116 |
| 17 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 3 | $77 | $79 | $14 | 18% | — | $63 – $98 |
| 18 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 3 | $77 | $79 | $14 | 18% | — | $63 – $98 |
| 19 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 3 | $77 | $79 | $14 | 18% | — | $63 – $98 |
| 20 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 3 | $77 | $79 | $14 | 18% | — | $63 – $98 |
| 21 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 22 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 2 | $108 | $108 | $6 | 6% | — | $101 – $114 |
| 23 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 24 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 2 | $299 | $299 | $18 | 6% | — | $281 – $317 |
| 25 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $317 | $317 | — | — | — | $317 – $317 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7