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
$0
Average
$49
Median
$34
High
$309
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
103 hospitals; the 90th percentile is 8.9× 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.
Filter by billing methodology
Filter by billing class
109 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $36 | $36 | $1 | 2% | — | $36 – $37 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 9 | BRONXCARE HEALTH SYSTEM Bronx, NY other · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 10 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 11 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 12 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 13 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 16 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 19 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $309 | $318 | 103% | — | $27 – $909 |
| 21 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 22 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $124 | $58 | 47% | — | $12 – $168 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS B4087 · Snapshot 20261111T120946Z-9134e7f7