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
$91
Average
$214
Median
$269
High
$283
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3 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 2 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 3 | Novant Health Stokes Medical Center, LLC Danbury, NC fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
← Payers reporting CPT 89130 · Snapshot 20261113T090226Z-3ce6c0b8