CPT 89130
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
SAMPLE STOMACH CONTENTS UNSCHEDULED
Low
$23
Average
$1.3k
Median
$433
High
$7.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 62.7× 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 fee schedule · outpatient · +2 other terms | 8 | $1.2k | $1.1k | $256 | 23% | — | $543 – $1.3k |
| 2 | Cigna fee schedule · outpatient · +1 other terms | 6 | $65 | $115 | $58 | 50% | — | $49 – $182 |
| 3 | Humana fee schedule · outpatient · +1 other terms | 6 | $424 | $398 | $58 | 15% | — | $269 – $424 |
| 4 | Anthem facility · fee schedule · outpatient · +2 other terms | 5 | $42 | $531 | $712 | 134% | — | $42 – $1.9k |
| 5 | First Health fee schedule · both | 5 | $23 | $23 | — | — | — | $23 – $23 |
| 6 | Aetna fee schedule · outpatient · +2 other terms | 4 | $287 | $287 | $189 | 66% | — | $99 – $476 |
| 7 | Aetna Better Health fee schedule · inpatient | 2 | $720 | $720 | — | — | — | $720 – $720 |
| 8 | Excellus facility · fee schedule · outpatient | 2 | $47 | $47 | $0 | 0% | — | $47 – $47 |
| 9 | UnitedHealthcare fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
← Hospitals reporting CPT 89130 · Snapshot 20261113T090226Z-3ce6c0b8