Gastrostomy feeding tube, 14 French, 1.5 cm

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

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

Medicare pricing summary

Low

$18

Average

$73

Median

$35

High

$322

Medicare rate distribution

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24 hospital rates

#		Plans
1	Tufts Medical Center BOSTON, MA other · both	1	$273	$290	$179	62%	29–290	$21 – $692
2	MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both	1	$273	$322	$178	55%	24–240	$63 – $692
3	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
4	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
5	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
6	CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient	2	$35	$35	—	—	—	$35 – $35
7	CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient	2	$35	$35	—	—	—	$35 – $35
8	CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient	2	$35	$35	—	—	—	$35 – $35
9	CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
10	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
11	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
12	CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
13	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
14	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	2	$35	$35	—	—	—	$35 – $35
15	CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
16	COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
17	COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
18	Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient	1	$13	$18	$14	78%	—	$4 – $37
19	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$166	$166	$5	3%	—	$161 – $171
20	LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
21	Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient	1	$295	$295	—	—	—	$295 – $295
22	Montefiore Medical Center Bronx, NY fee schedule · both	2	$31	$31	—	—	—	$31 – $31
23	ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
24	St Francis Hospital Colorado Springs, CO fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35

← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7

HCPCS B4087