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Every billing code / Other codes / Enteral and Parenteral

HCPCS B4087

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

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3.66 – $7,27616 plans$3.20 – $3,424$8.00 – $8,560
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2.97 – $6,24912 plans$3.20 – $3,424$8.00 – $8,560
Highline Medical CenterBurienFile dated 2026-02-28$40.78 – $1,45710 plans$58.53 – $494$192 – $1,619
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$148 – $953$212 – $1,361
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$5.17 – $6,96816 plans$3.20 – $3,424$8.00 – $8,560
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3.08 – $6,24916 plans$3.20 – $3,424$8.00 – $8,560
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3.08 – $6,24916 plans$3.20 – $3,424$8.00 – $8,560
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3.08 – $6,24916 plans$3.20 – $3,424$8.00 – $8,560
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2.97 – $6,16312 plans$3.20 – $3,424$8.00 – $8,560
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$73.30 – $92.453 plans——
PeaceHealth St John Medical CenterLongview$13.32 – $1923 plans$612$941
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$615 – $958$878 – $1,369
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$651 – $1,474$1,253 – $2,835
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$615 – $958$878 – $1,369
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$582 – $913$832 – $1,304
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$721 – $1,608$1,386 – $3,093
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$582 – $913$832 – $1,304
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$507 – $995$724 – $1,421
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$651 – $1,474$1,253 – $2,835
Seattle Children's HospitalSeattle$21.44 – $4,60498 plans$39.70 – $4,796$39.70 – $4,796
St Anthony HospitalGig HarborFile dated 2026-02-28$40.78 – $1,2158 plans$58.30 – $493$192 – $1,619
St Clare HospitalLakewoodFile dated 2026-02-28$40.78 – $1,2158 plans$55.25 – $467$192 – $1,619
St Elizabeth HospitalEnumclawFile dated 2026-02-28$40.78 – $1,45713 plans$67.73 – $572$192 – $1,619
St Francis Community HospitalFederal WayFile dated 2026-02-28$40.78 – $1,2158 plans$60.15 – $508$192 – $1,619
St Joseph Medical CenterTacomaFile dated 2026-02-28$40.78 – $1,2158 plans$63.48 – $536$192 – $1,619
St Michael Medical CenterSilverdaleFile dated 2026-02-28$40.78 – $1,45714 plans$84.59 – $715$192 – $1,619
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$446 – $975$930 – $2,032
Swedish IssaquahIssaquahFile dated 2026-04-01—$446 – $975$930 – $2,032
Swedish Medical CenterSeattleFile dated 2026-04-01—$446 – $975$930 – $2,032
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$446 – $975$930 – $2,032
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3.08 – $6,24916 plans$3.20 – $3,424$8.00 – $8,560
Three Rivers HospitalBrewster—$169 – $537$169 – $537
University of Washington Medical CtrSeattleFile dated 2026-04-01—$914$1,306
Virginia Mason Medical CenterSeattle$79.51 – $1304 plans——
WhidbeyHealth Medical CenterCoupeville—$2,212$2,212
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.41 – $2,95916 plans$1.20 – $1,381$3.00 – $3,453

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.