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
$6
Average
$296
Median
$164
High
$890
Each hospital's average Medica rate, under the methodology and billing class chosen below.
76 hospitals; the 90th percentile is 13.3× 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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127 hospital rates
iThe hospitals that file a Medica 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 Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $740 | $840 | $541 | 64% | 240–2,400 | $91 – $2.1k |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $567 | $891 | $818 | 92% | 196–1,960 | $88 – $5.0k |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 8 | $678 | $768 | $488 | 64% | 64–640 | $130 – $1.7k |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 9 | $548 | $541 | $42 | 8% | 1–10 | $438 – $609 |
| 5 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $68 | $81 | $67 | 83% | — | $26 – $298 |
| 6 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $78 | $161 | $150 | 94% | — | $32 – $382 |
| 7 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $76 | $150 | $143 | 96% | — | $21 – $382 |
| 8 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $68 | $81 | $67 | 83% | — | $26 – $298 |
| 9 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $78 | $161 | $150 | 94% | — | $32 – $382 |
| 10 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $76 | $143 | $142 | 99% | — | $15 – $382 |
| 11 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $68 | $81 | $67 | 83% | — | $26 – $298 |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $68 | $81 | $67 | 83% | — | $26 – $298 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $78 | $161 | $150 | 94% | — | $32 – $382 |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $76 | $141 | $143 | 101% | — | $12 – $382 |
| 15 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $68 | $81 | $67 | 83% | — | $26 – $298 |
| 16 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $78 | $161 | $150 | 94% | — | $32 – $382 |
| 17 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $76 | $146 | $142 | 97% | — | $18 – $382 |
| 18 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $15 | $18 | $9 | 47% | — | $11 – $31 |
| 19 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $15 | $18 | $9 | 47% | — | $11 – $31 |
| 20 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $195 | $252 | $183 | 73% | — | $66 – $553 |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 3 | $31 | $36 | $7 | 19% | — | $31 – $46 |
| 22 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 23 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $247 | $247 | $16 | 6% | — | $231 – $262 |
| 24 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 25 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 8 | $60 | $52 | $14 | 27% | — | $33 – $66 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7