CPT 91013
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
HC Esophag Motility Study W Stim
Low
$1
Average
$137
Median
$53
High
$1.1k
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28 hospital rates
iThe hospitals that file a Medicaid 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 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $239 | $239 | $11 | 5% | — | $227 – $250 |
| 2 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $239 | $239 | $11 | 5% | — | $227 – $250 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 8 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $232 | $232 | $11 | 5% | — | $221 – $243 |
| 9 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $232 | $232 | $11 | 5% | — | $221 – $243 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $12 | $12 | $6 | 49% | — | $6 – $18 |
| 11 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $232 | $232 | $11 | 5% | — | $221 – $243 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 17 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 19 | MARINERS HOSPITAL TAVERNIER, FL fee schedule · both | 2 | $232 | $232 | $11 | 5% | — | $221 – $243 |
| 20 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $19 | $19 | $3 | 16% | — | $16 – $22 |
| 21 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 22 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 23 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting CPT 91013 · Snapshot 20261113T090226Z-3ce6c0b8