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
Prices here combine facility and professional fees. See them separately →Experimental
Low
$513
Average
$2.3k
Median
$1.5k
High
$6.4k
Showing only prices reported under the per diem methodology. Choose another in the filter below to change the chart. 9 hospitals; the 90th percentile is 10.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
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Reflects a negotiated per diem rate paid per day of care.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Deaconess Hospital, Inc Newburgh, IN | $526 | $526 | — | — | — | $526 – $526 |
| 2 | Manatee Memorial Hospital Bradenton, FL | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 3 | Fairfield Medical Center Lancaster, OH | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 4 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Childrens Hospital of Orange County - Profit Orange, CA | $1.7k | $1.6k | $27 | 2% | — | $1.6k – $1.7k |
| 6 | Montefiore Medical Center Bronx, NY | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Boston Medical Center Boston, MA | $513 | $513 | — | — | — | $513 – $513 |
| 8 | Arthur G James Cancer Hospital And Research Institute Columbus, OH | $5.4k | $5.4k | $434 | 8% | — | $4.3k – $5.8k |
| 9 | Lakewood Ranch Lakewood Ranch, FL | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
Ask Claude or any MCP client for CPT 91030 pricing at a specific hospital — see how to connect.