CPT 91030
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
Acid perfusion of esophagus
Low
$123
Average
$1.8k
Median
$580
High
$15.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 11.1× 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 | UnitedHealthcare other · outpatient · +4 other terms | 41 | $524 | $572 | $258 | 45% | — | $104 – $1.4k |
| 2 | Humana other · outpatient · +4 other terms | 40 | $510 | $505 | $47 | 9% | — | $350 – $588 |
| 3 | Blue Cross Blue Shield other · outpatient · +3 other terms | 33 | $531 | $12.5k | $13.9k | 111% | — | $153 – $53.2k |
| 4 | Ambetter other · inpatient · +1 other terms | 31 | $834 | $809 | $134 | 17% | — | $650 – $1.0k |
| 5 | Aetna other · outpatient · +4 other terms | 27 | $520 | $643 | $196 | 31% | — | $400 – $1.1k |
| 6 | WellCare other · outpatient · +2 other terms | 22 | $533 | $517 | $55 | 11% | — | $347 – $570 |
| 7 | Tricare other · outpatient · +2 other terms | 20 | $484 | $427 | $124 | 29% | — | $191 – $553 |
| 8 | Oscar other · outpatient · +2 other terms | 18 | $810 | $931 | $640 | 69% | — | $610 – $3.5k |
| 9 | Molina other · outpatient · +2 other terms | 17 | $724 | $684 | $282 | 41% | — | $281 – $1.1k |
| 10 | Optum other · inpatient · +1 other terms | 10 | $506 | $509 | $11 | 2% | — | $501 – $541 |
← Hospitals reporting CPT 91030 · Snapshot 20261113T090226Z-3ce6c0b8