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
$3
Average
$304
Median
$302
High
$793
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 6.2× 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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55 hospital rates
iThe hospitals that file a Healthpartners 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 Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $538 | $793 | $838 | 106% | 49–490 | $37 – $5.3k |
| 2 | Regions Hospital St. Paul, MN facility · case rate · both | 1 | $62 | $62 | — | — | 40–400 | $62 – $62 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 5 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 3 | $101 | $95 | $10 | 10% | — | $81 – $101 |
| 7 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 8 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 3 | $281 | $263 | $27 | 10% | — | $225 – $281 |
| 9 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 10 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $281 | $263 | $27 | 10% | — | $225 – $281 |
| 11 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · inpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 12 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 3 | $101 | $95 | $10 | 10% | — | $81 – $101 |
| 13 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 14 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 3 | $281 | $263 | $27 | 10% | — | $225 – $281 |
| 15 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 16 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $281 | $263 | $27 | 10% | — | $225 – $281 |
| 17 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 5 | $37 | $36 | $2 | 5% | — | $32 – $37 |
| 18 | Hudson Hospital Hudson, WI facility · fee schedule · both | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 19 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 20 | Lakeview Hospital Stillwater, MN facility · fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $543 | $649 | $467 | 72% | — | $115 – $1.7k |
| 22 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $267 | $267 | $11 | 4% | — | $256 – $278 |
| 23 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $413 | $579 | $351 | 61% | — | $108 – $1.2k |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $377 | $580 | $563 | 97% | — | $37 – $2.2k |
| 25 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $504 | $500 | $5 | 1% | — | $493 – $504 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7