Esophageal reflux test using impedance monitoring

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MANOMETRY

Payers reporting CPT 91037

Payer pricing summary

Low

$109

Average

$574

Median

$418

High

$2.4k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	358	$363	$451	$379	84%	25–34	$1 – $4.1k
2	Humana fee schedule · outpatient · +28 other terms	321	$302	$487	$772	159%	2–20	$1 – $8.3k
3	Anthem fee schedule · outpatient · +28 other terms	114	$444	$320	$418	131%	2–20	$4 – $3.9k
4	UnitedHealthcare fee schedule · outpatient · +33 other terms	447	$321	$984	$2.2k	221%	1–10	$1 – $26.7k
5	Aetna fee schedule · outpatient · +34 other terms	438	$283	$804	$2.1k	264%	1–10	$1 – $19.0k
6	Cigna fee schedule · outpatient · +31 other terms	162	$275	$369	$306	83%	1–10	$52 – $2.8k
7	Optum fee schedule · outpatient · +19 other terms	55	$283	$284	$140	49%	1–10	$117 – $797
8	First Health fee schedule · outpatient · +18 other terms	34	$505	$888	$1.2k	134%	1–10	$157 – $4.6k
9	Molina fee schedule · outpatient · +27 other terms	159	$310	$280	$168	60%	—	$1 – $1.4k
10	WellCare fee schedule · outpatient · +16 other terms	137	$292	$424	$665	157%	—	$36 – $4.3k
11	Oscar case rate · outpatient · +20 other terms	129	$2.5k	$2.6k	$787	30%	—	$487 – $7.5k
12	Ambetter facility · fee schedule · outpatient · +17 other terms	93	$397	$746	$1.7k	224%	—	$234 – $14.6k
13	Kaiser fee schedule · outpatient · +20 other terms	92	$379	$661	$853	129%	—	$101 – $4.3k
14	Devoted fee schedule · outpatient · +12 other terms	68	$239	$254	$69	27%	—	$117 – $352
15	MultiPlan fee schedule · outpatient · +20 other terms	55	$640	$912	$975	107%	—	$119 – $4.7k
16	Caresource fee schedule · outpatient · +16 other terms	42	$225	$409	$861	210%	—	$1 – $4.3k
17	Highmark facility · fee schedule · outpatient · +13 other terms	38	$441	$403	$295	73%	—	$36 – $1.4k
18	Tricare facility · fee schedule · outpatient · +15 other terms	35	$218	$558	$1.6k	282%	—	$25 – $9.4k
19	Clover facility · fee schedule · outpatient · +9 other terms	34	$231	$237	$37	15%	—	$199 – $367
20	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	28	$144	$175	$66	38%	—	$81 – $321
21	Medicare fee schedule · outpatient · +15 other terms	28	$117	$673	$1.3k	192%	—	$101 – $4.1k
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$274	$274	$55	20%	—	$206 – $358
23	Bcbs Tx fee schedule · outpatient · +5 other terms	25	$355	$382	$131	34%	—	$135 – $662
24	Bcbs La fee schedule · outpatient · +1 other terms	22	$670	$667	$204	31%	—	$189 – $1.0k
25	Medica fee schedule · outpatient · +21 other terms	21	$329	$330	$215	65%	—	$49 – $933

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