CPT 91033
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
PROLONGED ACID REFLUX TEST UNSCHEDULED
Low
$319
Average
$19.7k
Median
$17.5k
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 16.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +1 other terms | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Anthem facility · fee schedule · outpatient | 1 | $319 | $319 | $114 | 36% | — | $205 – $434 |
| 3 | Humana facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 4 | Molina facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 5 | Oscar facility · per diem · outpatient | 1 | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
← Hospitals reporting CPT 91033 · Snapshot 20261113T090226Z-3ce6c0b8