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Gastrostomy/Jejunostomy Tube, Standard

Ohio rates for HCPCS B4087

Gastrostomy/jejunostomy tube, standard, any material, any type, each

Rates data updated October 2026.

How much does Gastrostomy/Jejunostomy Tube, Standard cost?

$22.91

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $35.48 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.91$22.91 to $23.99
FacilityA hospital or hospital-owned outpatient department$35.48$33.11 to $48.98

How much rates vary

Facilitymedian $35 · 10th to 90th $30 to $56Professionalmedian $23 · 10th to 90th $19 to $42
$20$50$100facility $35professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$35.48
Typical High
$56.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$17.38
Median
$17.38
Typical High
$19.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$32.36
Molina
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$37.15
Typical High
$42.66
SummaCare
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$44.67
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$34.67
Typical High
$58.88

Where Ohio sits

The same service costs 2.5 times more in Iowa than in New Jersey. 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.

Ohio· 47th of 51

$22.91

IA $45.71NJ $18.62

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.