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 KIT/LOW PROFILE
Boulder, CO
See all hospitals reporting HCPCS B4087 →Price type
Boulder Community Health’s median price of $149 is 168% above the median hospital's median price ($56), higher than 76% of the 960 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: 9 payers, 30 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 medicare advantage professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Aetna commercial professional · fee schedule · both | $31 | $31 | $9 | 31% | — | $21 – $40 |
| 4 | Anthem commercial professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Anthem managed care professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Anthem medicare advantage facility · case rate · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Humana medicare advantage professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Kaiser medicare advantage facility · case rate · outpatient | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 12 | Devoted medicare advantage facility · case rate · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Kaiser medicare advantage professional · fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 14 | UnitedHealthcare medicare advantage professional · fee schedule · both | $39 | $39 | $3 | 8% | — | $36 – $42 |
| 15 | Kaiser commercial professional · fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 16 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $103 | $104 | $16 | 15% | — | $83 – $126 |
| 17 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | $15 | 14% | — | $95 – $125 |
| 18 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $146 | $157 | $53 | 34% | — | $94 – $298 |
| 19 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $166 | $166 | $23 | 14% | — | $143 – $189 |
| 20 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | $23 | 14% | — | $146 – $192 |
| 21 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $176 | $176 | $24 | 14% | — | $152 – $200 |
| 22 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $127 | $192 | $118 | 62% | — | $84 – $401 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $222 | $229 | $64 | 28% | — | $150 – $324 |
| 24 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $254 | $254 | $35 | 14% | — | $219 – $288 |
| 25 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $304 | $304 | $42 | 14% | — | $263 – $346 |
Last updated: Sep 16, 2026
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.