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
$15
Average
$259
Median
$121
High
$1.9k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 4.2× 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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32 hospital rates
iThe hospitals that file a Wellmark 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $258 | $523 | $1.0k | 197% | — | $28 – $6.0k |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $246 | $496 | $979 | 197% | — | $26 – $5.7k |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 10 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Meriter Hospital, Inc Madison, WI percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $251 | $251 | $114 | 46% | — | $136 – $365 |
| 14 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 16 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 17 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 18 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | The Finley Hospital Dubuque, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 20 | Trinity Medical Center Rock Island, IL case rate · outpatient | 2 | $197 | $197 | $159 | 80% | — | $39 – $356 |
| 21 | Trinity Medical Center Rock Island, IL fee schedule · both | 2 | $133 | $133 | $13 | 10% | — | $120 – $146 |
| 22 | Trinity Medical Center Bettendorf, IA case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 23 | Trinity Medical Center Bettendorf, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
| 24 | Trinity Regional Medical Center Fort Dodge, IA case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 25 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · both | 3 | $146 | $146 | — | — | — | $146 – $146 |
← Payers reporting HCPCS B4088 · Snapshot 20261111T120946Z-9134e7f7