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Feeding tube placement (PEG): what insurers pay

An endoscope-guided feeding tube through the abdominal wall into the stomach. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 43246: Feeding Tube Placement (Peg)

1318 hospitals in 80 markets. National Medicare rate $1,960, surgery center $894.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)21$1,733$2,198$2,722$1,303–$6,616
Alaska (statewide)4———$1,503–$11,154
Arizona (statewide)11$2,554$2,741$3,405$1,211–$6,354
Arkansas (statewide)16$1,643$1,732$1,803$1,268–$2,622
Atlanta GA10$3,870$4,140$4,140$3,792–$4,714
Austin TX12$1,232$2,192$3,490$1,232–$3,490
Boston MA16$2,279$2,440$3,012$1,335–$4,165
California (statewide)73$2,764$4,624$7,179$1,542–$9,570
Charlotte NC6$2,255$2,255$2,255$2,225–$5,050
Chicago IL11$3,104$3,622$4,274$1,694–$4,955
Cleveland OH11$2,838$3,029$3,566$2,068–$4,320
Colorado (statewide)15$2,537$3,002$5,080$1,416–$7,154
Columbus OH1———$6,902–$6,902
Connecticut (statewide)2———$2,184–$3,362
Dallas-Fort Worth TX12$3,251$3,474$3,896$2,923–$5,698
Denver CO15$2,471$4,108$4,356$1,416–$5,238
Detroit MI15$1,131$1,636$1,894$1,131–$5,085
Florida (statewide)67$2,970$3,818$4,452$1,704–$13,250
Georgia (statewide)48$2,562$3,633$4,714$1,605–$12,890
Hawaii (statewide)7$3,514$3,696$4,598$1,898–$5,672
Houston TX19$2,664$2,774$3,663$2,650–$3,695
Idaho (statewide)14$2,614$4,306$4,818$1,742–$7,154
Illinois (statewide)32$2,678$3,145$3,790$1,068–$10,500
Indiana (statewide)37$3,172$4,316$6,311$1,617–$8,220
Indianapolis IN2———$2,993–$7,982
Iowa (statewide)22$1,960$2,842$3,732$981–$5,180
Kansas (statewide)25$2,311$2,810$3,144$2,113–$6,859
Kentucky (statewide)21$2,009$2,627$3,522$990–$5,279
Las Vegas NV1———$3,010–$3,010
Los Angeles CA18$3,706$4,085$5,015$2,363–$14,322
Louisiana (statewide)21$1,557$1,698$2,567$1,133–$5,125
Maine (statewide)16$7,773$8,822$9,024$1,026–$11,346
Maryland (statewide)1———$3,190–$3,190
Massachusetts (statewide)11$2,194$2,463$2,860$1,696–$3,148
Miami-Fort Lauderdale FL7$2,214$2,269$2,580$2,194–$3,297
Michigan (statewide)29$1,822$1,912$2,010$1,022–$2,456
Minneapolis-St. Paul MN9$2,618$2,778$2,808$2,406–$4,083
Minnesota (statewide)14$2,697$4,714$5,696$1,211–$7,035
Mississippi (statewide)23$2,130$2,554$2,730$1,247–$5,233
Missouri (statewide)27$1,850$2,923$3,350$1,255–$6,278
Montana (statewide)5$3,984$4,764$5,489$3,800–$5,683
Nashville TN8$2,404$2,442$2,740$1,637–$3,674
Nebraska (statewide)13$2,997$3,262$3,909$2,271–$6,799
Nevada (statewide)3———$3,653–$5,001
New Hampshire (statewide)6$3,617$5,124$6,695$2,619–$8,593
New Jersey (statewide)25$3,123$3,914$6,176$2,201–$7,460
New Mexico (statewide)7$4,226$4,414$6,518$3,781–$8,138
New York (statewide)36$2,771$3,730$4,800$1,538–$6,338
New York City7$2,780$2,780$5,444$2,780–$8,427
North Carolina (statewide)9$2,642$4,069$4,753$1,960–$5,088
North Dakota (statewide)5$3,282$3,360$4,348$2,500–$5,537
Ohio (statewide)41$2,596$4,063$5,016$997–$7,376
Oklahoma (statewide)13$1,960$3,317$3,924$1,664–$6,536
Oregon (statewide)11$4,858$5,828$6,802$2,107–$8,677
Pennsylvania (statewide)45$2,314$3,559$5,090$1,014–$8,486
Philadelphia PA11$3,420$3,640$3,754$3,148–$7,638
Phoenix AZ8$2,741$2,842$2,897$2,600–$2,897
Pittsburgh PA11$1,968$3,232$4,062$1,688–$4,774
Portland OR9$6,073$6,073$6,766$6,058–$6,766
Rhode Island (statewide)6$2,248$3,338$4,164$1,616–$4,447
Richmond VA3———$3,477–$4,286
Rio Grande Valley TX6$2,518$2,770$3,390$2,494–$3,537
Salt Lake City UT9$2,065$2,136$2,136$1,732–$2,206
San Antonio TX3———$2,716–$2,911
San Diego CA6$4,196$4,196$4,236$4,196–$4,551
San Francisco Bay Area CA6$5,260$5,533$7,402$4,959–$15,618
Seattle-Tacoma WA16$5,392$6,063$6,789$4,918–$7,586
South Carolina (statewide)29$2,806$4,052$6,467$1,484–$11,592
South Dakota (statewide)3———$2,365–$6,403
St. Louis MO10$1,763$1,920$2,298$1,576–$4,587
Tampa FL6$5,611$5,611$5,611$2,494–$9,268
Tennessee (statewide)33$1,828$1,958$2,474$1,346–$3,938
Texas (statewide)78$2,373$2,923$3,434$1,225–$8,220
Utah (statewide)6$1,765$1,964$2,065$1,732–$2,136
Vermont (statewide)1———$2,931–$2,931
Virginia (statewide)26$3,912$5,186$5,986$1,695–$9,892
Washington (statewide)14$3,902$5,138$5,578$2,274–$9,944
Washington DC11$3,086$3,193$3,366$2,276–$4,042
West Virginia (statewide)12$2,774$3,218$6,244$1,610–$12,775
Wisconsin (statewide)39$3,077$3,904$5,388$1,016–$8,692

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Cass County Memorial HospitalIowa (statewide)$9810.5×12026-06-01
Livingston Hospital And Healthcare Services, IncKentucky (statewide)$9900.6×12026-08-25
Paulding County HospitalOhio (statewide)$9970.6×32025-11-01
Lower Bucks HospitalPennsylvania (statewide)$1,0140.5×62026-09-01
Thedacare Regional Medical Center - Neenah IncWisconsin (statewide)$1,0160.6×12026-08-08
Henry Ford Health Providence Southfield HospitalMichigan (statewide)$1,0220.5×12026-01-01
Northern Maine Medical CenterMaine (statewide)$1,0260.5×12026-09-27
Henry Ford Genesys HospitalMichigan (statewide)$1,0370.5×22026-01-01
Northwestern Medicine Mchenry HospitalIllinois (statewide)$1,0680.5×12026-04-01
Upmc ColePennsylvania (statewide)$1,0710.6×12026-03-06
Oaklawn HospitalMichigan (statewide)$1,0720.6×22026-03-27
Akron Children'S HospitalOhio (statewide)$1,0840.6×12025-11-11
Ann & Robert H Lurie Childrens Hospital Of ChicagoIllinois (statewide)$10,5005.1×32026-04-01
Providence Alaska Medical CenterAlaska (statewide)$11,1545.2×22026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$11,3466.0×12025-09-09
Northeast Georgia Medical Center HabershamGeorgia (statewide)$11,4586.8×12026-04-01
Mcleod Medical Center - DillonSouth Carolina (statewide)$11,5926.5×12026-07-20
Logan Regional Medical CenterWest Virginia (statewide)$12,7756.9×12026-04-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$12,8907.0×12026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$12,8906.7×12026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$12,8906.7×12026-04-01
Holy Cross HospitalFlorida (statewide)$13,2506.6×242026-03-31
Cedars-Sinai Medical CenterLos Angeles CA$14,3225.8×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$15,6185.5×42026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for feeding tube placement (peg)?

Across 1318 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 43246, hospital outpatient is $3,262, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,392 to $4,671. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for feeding tube placement (peg)?

Medicare's national hospital outpatient rate for CPT 43246 is $1,960 and its surgery-center rate is $894, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for feeding tube placement (peg)?

Lowest medians: Cass County Memorial Hospital ($981), Livingston Hospital And Healthcare Services, Inc ($990), Paulding County Hospital ($997). Highest: Stanford Health Care ($15,618), Cedars-Sinai Medical Center ($14,322), Holy Cross Hospital ($13,250). Coverage: every hospital whose price file we could read.