Gastrostomy feeding tube, 14 French, 1.5 cm at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Gastro/jejuno tube, std

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $39 is 29% below the median hospital's median price ($56), higher than 37% of the 960 hospitals reporting HCPCS B4087. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS B4087 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 20 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	Blue Cross Blue Shield medicaid fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
2	Medica ma non-snp fee schedule · both	$33	$33	—	—	—	$33 – $33
3	Medica ma snp fee schedule · both	$33	$33	—	—	—	$33 – $33
4	Medica prime solution fee schedule · both	$33	$33	—	—	—	$33 – $33
5	Medica vantage fee schedule · both	$33	$33	—	—	—	$33 – $33
6	Medica accessability fee schedule · both	$37	$37	—	—	—	$37 – $37
7	Medica medicaid fee schedule · both	$37	$37	—	—	—	$37 – $37
8	Blue Cross Blue Shield federal fee schedule · both	$38	$38	—	—	—	$38 – $38
9	Blue Cross Blue Shield commercial fee schedule · both	$39	$39	—	—	—	$39 – $39
10	Ucare mhcp fee schedule · both	$40	$40	—	—	—	$40 – $40
11	Blue Cross Blue Shield medicaid fee schedule · both	$40	$40	—	—	—	$40 – $40
12	Cigna commercial fee schedule · both	$41	$41	$4	9%	—	$37 – $44
13	Blue Cross Blue Shield federal fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
14	Blue Cross Blue Shield commercial fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
15	Medica bold fee schedule · both	$58	$58	—	—	—	$58 – $58
16	Medica choice without / elect fee schedule · both	$64	$64	—	—	—	$64 – $64
17	Medica city of st paul / essential uplan fee schedule · both	$64	$64	—	—	—	$64 – $64
18	Medica choice with fee schedule · both	$66	$66	—	—	—	$66 – $66
19	UnitedHealthcare commercial fee schedule · both	$83	$83	—	—	—	$83 – $83
20	Cigna commercial fee schedule · outpatient	$86	$86	$7	9%	—	$78 – $93

Last updated: May 18, 2026

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