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Stomach Tube - Levine Type

Pennsylvania rates for HCPCS B4083

Stomach tube - Levine type

Rates data updated July 2026.

How much does Stomach Tube - Levine Type cost?

$1.66

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.66 for this service. The price depends on where it is billed: about $1.66 from a physician practice, and about $5.75 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.66$1.38 to $1.91
FacilityA hospital or hospital-owned outpatient department$5.75$1.38 to $12.88

How much rates vary

Facilitymedian $6 · 10th to 90th $1 to $19Professionalmedian $2 · 10th to 90th $1 to $4
$1$10$100$1K$10Kfacility $6professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.66
Typical High
$8.71
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.70
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$1.66
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.51
Typical High
$2.04
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$11.75
Typical High
$20.42
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.29
Typical High
$2.29
United
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.24
Typical High
$3.63

Where Pennsylvania sits

The same service costs 2.6 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 43rd of 51

$1.66

MT $3.02WV $1.17

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.