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
$19
Average
$167
Median
$55
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 13.6× 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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161 hospital rates
iThe hospitals that file a Molina 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 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA other · outpatient | 1 | $75 | $75 | — | — | 43 | $75 – $75 |
| 2 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $93 | $85 | $15 | 18% | 3–30 | $56 – $93 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $69 | $69 | $24 | 34% | — | $45 – $93 |
| 7 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 9 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 11 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 12 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 18 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 20 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 2 | $51 | $51 | $11 | 22% | — | $40 – $62 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $67 | $67 | $24 | 35% | — | $44 – $91 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $67 | $67 | $24 | 35% | — | $44 – $91 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $67 | $67 | $24 | 35% | — | $44 – $91 |
← Payers reporting HCPCS B4088 · Snapshot 20261111T120946Z-9134e7f7