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
$32
Average
$201
Median
$47
High
$698
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 15.2× 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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61 hospital rates
iThe hospitals that file a Ucare 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 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Fairview Health Services Edina, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Fairview Health Services Minneapolis, MN fee schedule · both | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 10 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Fairview Health Services Princeton, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $154 | $102 | 66% | — | $19 – $308 |
| 15 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 16 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 18 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 20 | Hudson Hospital Hudson, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 21 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 22 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $460 | $698 | $793 | 114% | — | $37 – $5.0k |
| 23 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $377 | $538 | $508 | 94% | — | $37 – $1.9k |
| 24 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $504 | $504 | $27 | 5% | — | $477 – $530 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 4 | $149 | $250 | $172 | 69% | — | $49 – $632 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7