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
TB GMASTSMY MIC 12FR 5CC 0100-12LV
Garrison, ND
See all hospitals reporting HCPCS B4087 →Price type
Garrison Memorial Hospital’s median price of $71 is 28% above the median hospital's median price ($56), higher than 58% 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: 6 payers, 13 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 | Humana medicare|all plans fee schedule · outpatient | $42 | $86 | $80 | 93% | — | $18 – $199 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $42 | $86 | $80 | 93% | — | $18 – $199 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $42 | $86 | $80 | 93% | — | $18 – $199 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $42 | $88 | $82 | 93% | — | $18 – $203 |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $62 | $127 | $119 | 93% | — | $26 – $294 |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $62 | $127 | $119 | 93% | — | $26 – $294 |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $72 | $150 | $140 | 93% | — | $31 – $346 |
| 8 | Medica commercial|all plans fee schedule · inpatient | $72 | $150 | $140 | 93% | — | $31 – $346 |
| 9 | Medica commercial|all plans fee schedule · outpatient | $72 | $150 | $140 | 93% | — | $31 – $346 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $75 | $155 | $145 | 93% | — | $32 – $358 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $75 | $155 | $145 | 93% | — | $32 – $358 |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $79 | $163 | $153 | 93% | — | $33 – $378 |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $79 | $163 | $153 | 93% | — | $33 – $378 |
Last updated: Feb 28, 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.