Low-profile feeding tube for stomach or jejunum

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 PEG 5.5MM 24FR PEG 24 D MARK STP DSGN LF MRI-COND

Payers reporting HCPCS B4088

Payer pricing summary

Low

Average

$491

Median

$453

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +17 other terms	225	$43	$139	$443	319%	—	$16 – $7.1k
2	UnitedHealthcare fee schedule · outpatient · +21 other terms	128	$43	$264	$807	305%	—	$1 – $9.7k
3	Aetna fee schedule · outpatient · +18 other terms	107	$43	$85	$156	184%	—	$21 – $2.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	58	$80	$224	$744	332%	—	$0 – $9.8k
5	Cigna fee schedule · outpatient · +19 other terms	44	$43	$63	$98	154%	—	$37 – $1.7k
6	Anthem fee schedule · outpatient · +19 other terms	43	$42	$44	$18	41%	—	$37 – $160
7	MultiPlan fee schedule · outpatient · +12 other terms	36	$897	$859	$1.6k	183%	—	$39 – $9.7k
8	Caresource fee schedule · outpatient · +9 other terms	32	$38	$76	$41	54%	—	$32 – $160
9	Molina case rate · outpatient · +14 other terms	31	$39	$40	$4	9%	—	$38 – $55
10	Medica fee schedule · outpatient · +12 other terms	30	$221	$465	$1.2k	251%	—	$16 – $9.5k
11	Kaiser fee schedule · outpatient · +12 other terms	28	$43	$202	$349	172%	—	$42 – $1.5k
12	Regence fee schedule · outpatient · +9 other terms	25	$45	$60	$25	42%	—	$29 – $560
13	Devoted fee schedule · outpatient · +6 other terms	21	$43	$43	$1	2%	—	$42 – $46
14	WellCare fee schedule · outpatient · +10 other terms	21	$40	$37	$1	2%	—	$37 – $46
15	Phcs fee schedule · inpatient · +10 other terms	19	$618	$716	$1.4k	196%	—	$33 – $9.7k
16	Medicare fee schedule · outpatient · +3 other terms	18	$43	$43	—	—	—	$43 – $43
17	Premera fee schedule · outpatient · +4 other terms	16	$70	$69	$12	18%	—	$50 – $451
18	Bcbs Nj percent of total billed charges · outpatientfrom % of charges	13	$404	$421	$132	31%	—	$169 – $1.0k
19	Wellmark fee schedule · both · +7 other terms	13	$146	$145	$4	3%	—	$120 – $146
20	Aetna Better Health fee schedule · outpatient · +9 other terms	12	$33	$33	$1	2%	—	$33 – $37
21	Ambetter case rate · outpatient · +10 other terms	12	$55	$57	$5	8%	—	$55 – $71
22	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$39	$41	$3	8%	—	$39 – $47
23	Highmark fee schedule · outpatient · +9 other terms	12	$34	$59	$54	91%	—	$34 – $195
24	Bcbs Mn fee schedule · outpatient · +4 other terms	11	$38	$39	$11	28%	—	$20 – $48
25	Optum fee schedule · outpatient · +7 other terms	11	$43	$88	$108	123%	—	$43 – $442

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