CPT 27004
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
Md Gastroview Sol 30 Ml
Low
$32
Average
$10.1k
Median
$45
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 1016.1× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tricare fee schedule · outpatient | 5 | $50k | $50k | — | — | — | $50k – $50k |
| 2 | Aetna fee schedule · outpatient · +1 other terms | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Anthem fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Humana fee schedule · outpatient · +1 other terms | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 5 | MultiPlan fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 6 | Superior Healthplan fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 7 | UnitedHealthcare fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 8 | WellCare fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
← Hospitals reporting CPT 27004 · Snapshot 20261113T090226Z-3ce6c0b8