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
Hi-Res Gastric Ep Mapping
Low
$199
Average
$729
Median
$611
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +11 other terms | 319 | $480 | $593 | $392 | 66% | — | $208 – $3.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 256 | $514 | $664 | $794 | 120% | — | $0 – $15.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 219 | $674 | $1.0k | $694 | 67% | — | $0 – $3.9k |
| 4 | Humana fee schedule · outpatient · +10 other terms | 207 | $508 | $500 | $144 | 29% | — | $334 – $1.2k |
| 5 | Cigna fee schedule · outpatient · +6 other terms | 129 | $457 | $589 | $372 | 63% | — | $355 – $1.9k |
| 6 | WellCare fee schedule · outpatient · +5 other terms | 115 | $502 | $551 | $222 | 40% | — | $343 – $1.2k |
| 7 | Molina fee schedule · outpatient · +11 other terms | 98 | $554 | $562 | $161 | 29% | — | $272 – $1.4k |
| 8 | Anthem fee schedule · outpatient · +8 other terms | 71 | $533 | $929 | $750 | 81% | — | $370 – $3.2k |
| 9 | Devoted fee schedule · outpatient · +4 other terms | 64 | $416 | $446 | $90 | 20% | — | $347 – $588 |
| 10 | Kaiser fee schedule · outpatient · +5 other terms | 58 | $540 | $811 | $635 | 78% | — | $374 – $4.0k |
| 11 | Ambetter facility · fee schedule · outpatient · +5 other terms | 57 | $667 | $883 | $320 | 36% | — | $404 – $1.4k |
| 12 | Optum fee schedule · outpatient · +6 other terms | 33 | $374 | $519 | $265 | 51% | — | $339 – $1.4k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $742 | $765 | $325 | 42% | — | $398 – $2.1k |
| 14 | Oscar fee schedule · outpatient · +10 other terms | 30 | $782 | $719 | $171 | 24% | — | $440 – $1.1k |
| 15 | Caresource facility · fee schedule · outpatient · +4 other terms | 27 | $574 | $569 | $159 | 28% | — | $363 – $991 |
| 16 | Clover fee schedule · outpatient · +4 other terms | 26 | $580 | $509 | $103 | 20% | — | $337 – $625 |
| 17 | Medicare fee schedule · outpatient · +1 other terms | 18 | $374 | $374 | — | — | — | $374 – $374 |
| 18 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $393 | $524 | $339 | 65% | — | $378 – $1.7k |
| 19 | Highmark fee schedule · outpatient · +2 other terms | 16 | $709 | $701 | $250 | 36% | — | $238 – $1.4k |
| 20 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 16 | $364 | $448 | $267 | 60% | — | $192 – $1.4k |
| 21 | Bcbs Nj fee schedule · outpatient · +1 other terms | 12 | $595 | $1.3k | $844 | 67% | — | $580 – $2.6k |
| 22 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 12 | $530 | $530 | $9 | 2% | — | $523 – $557 |
| 23 | Tricare fee schedule · outpatient · +4 other terms | 11 | $339 | $355 | $30 | 8% | — | $339 – $443 |
| 24 | Ucare facility · fee schedule · outpatient · +3 other terms | 11 | $532 | $600 | $195 | 32% | — | $429 – $1.0k |
| 25 | Wellmark case rate · outpatient · +2 other terms | 11 | $502 | $511 | $19 | 4% | — | $499 – $564 |
← Hospitals reporting CPT 0868T · Snapshot 20261113T090226Z-3ce6c0b8