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 PEG 5.5MM 24FR PEG 24 D MARK STP DSGN LF MRI-COND
Low
$22
Average
$151
Median
$124
High
$264
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 10.1× 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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18 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $104 | $101 | 97% | — | $8 – $455 |
| 4 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 5 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $88 | $125 | $91 | 73% | — | $13 – $375 |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $75 | $44 | 60% | — | $22 – $138 |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $22 | $22 | $0 | 2% | — | $22 – $22 |
| 8 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 9 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 10 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 11 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 12 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 13 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 14 | Memorial Regional Hospital Hollywood, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 15 | Memorial Regional Hospital Hollywood, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | $160 | 60% | — | $104 – $424 |
| 16 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 17 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $88 | $123 | $91 | 74% | — | $13 – $375 |
| 18 | UPMC Kane Kane, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $115 | $58 | 50% | — | $16 – $163 |
← Payers reporting HCPCS B4088 · Snapshot 20261111T120946Z-9134e7f7