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
$19
Average
$12.6k
Median
$87
High
$37.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 723.0× 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 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 6 | $34.9k | $29.1k | $13.0k | 45% | — | $85 – $34.9k |
| 2 | Caresource percent of total billed charges · outpatientfrom % of charges | 5 | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 3 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 4 | Aetna percent of total billed charges · outpatientfrom % of charges | 3 | $81 | $87 | $35 | 40% | — | $58 – $145 |
| 5 | Cigna percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $83 | $29 | 35% | — | $56 – $128 |
| 6 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 2 | $73 | $72 | $22 | 30% | — | $43 – $96 |
| 7 | Anthem percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | $5 | 11% | — | $39 – $50 |
| 9 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | $8 | 41% | — | $11 – $26 |
| 10 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
← Hospitals reporting CPT 27004 · Snapshot 20261113T090226Z-3ce6c0b8