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
GASTROSTOMY/JEJUNOSTOMY TUBE 1
Summit, WI
See all hospitals reporting HCPCS B4087 →Price type
Aurora Medical Center Summit’s median price of $244 is 335% above the median hospital's median price ($56), higher than 84% of the 948 hospitals reporting HCPCS B4087. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $200 | $200 | — | — | — | $200 – $200 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $225 | $225 | — | — | — | $225 – $225 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $225 | $225 | — | — | — | $225 – $225 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $225 | $225 | — | — | — | $225 – $225 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | — | $244 – $244 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $310 | $310 | — | — | — | $310 – $310 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $316 | $316 | — | — | — | $316 – $316 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $316 | $316 | — | — | — | $316 – $316 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $319 | $319 | — | — | — | $319 – $319 |
Last updated: Nov 21, 2025
See Gastrostomy feeding tube, 14 French, 1.5 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.