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
GI Prolonged Ph Study W/Capsule
Low
$85
Average
$1.5k
Median
$1.2k
High
$27.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
398 hospitals; the 90th percentile is 7.6× 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.
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776 hospital rates
iThe hospitals that file a Anthem 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 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.4k | $319 | 22% | 28 | $1.1k – $1.9k |
| 2 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.2k | $184 | 15% | 5–50 | $830 – $1.3k |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $738 | $708 | $384 | 54% | 4–40 | $186 – $1.2k |
| 4 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 2 | $7.6k | $7.6k | $1.8k | 23% | 4–40 | $5.8k – $9.3k |
| 5 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 2 | $7.6k | $7.6k | $1.6k | 21% | 4–40 | $6.0k – $9.2k |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $1.9k | $1.9k | $588 | 30% | 3–30 | $1.2k – $2.8k |
| 7 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 8 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $294 | 23% | 2–20 | $969 – $1.6k |
| 9 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI fee schedule · outpatient | 1 | $504 | $504 | — | — | 2–20 | $504 – $504 |
| 10 | Saint Marys Hospital Waterbury, CT facility · other · both | 4 | $1.3k | $1.3k | $101 | 8% | 2–20 | $1.0k – $1.3k |
| 11 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $2.1k | $808 | 39% | 2–20 | $1.2k – $3.0k |
| 12 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 13 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 14 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 15 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 18 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 19 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $1.2k | $101 | 8% | 1–10 | $1.1k – $1.4k |
| 20 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $908 | $908 | — | — | 1–10 | $908 – $908 |
| 21 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 22 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.1k | $21 | 2% | 1–10 | $1.1k – $1.1k |
| 23 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 24 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 25 | Inova Fair Oaks Hospital Fairfax, VA other · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
← Payers reporting CPT 91035 · Snapshot 20261111T120946Z-9134e7f7