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
$25
Average
$128
Median
$88
High
$859
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 7.5× 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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69 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $218 | $356 | $295 | 83% | — | $52 – $1.0k |
| 10 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 11 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 12 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 3 | $45 | $125 | $249 | 199% | — | $26 – $921 |
| 13 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 15 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $349 | $859 | $1000 | 116% | — | $50 – $5.7k |
| 16 | HERITAGE VALLEY BEAVER BEAVER, PA fee schedule · both | 4 | $63 | $88 | $62 | 71% | — | $13 – $243 |
| 17 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA fee schedule · both | 4 | $63 | $88 | $62 | 71% | — | $13 – $243 |
| 18 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 1 | $62 | $62 | $6 | 10% | — | $56 – $68 |
| 21 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 22 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 11 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | Marion Neighborhood Hospital White Hall, WV fee schedule · outpatient | 1 | $177 | $177 | $4 | 3% | — | $173 – $182 |
| 24 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $141 | $118 | $49 | 42% | — | $33 – $156 |
| 25 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 3 | $34 | $30 | $6 | 20% | — | $22 – $35 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7