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CPT 91038

ESOPH IMPED FUNCT TEST > 1HR

Reported by 353 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$1

Average

$2.2k

Median

$2.0k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$467$533$739$1.5k$383
2Northwest Iowa Hospital CorporationSioux City, IA$470$535$535$1.4k$8
3Medical Ctiy ArgyleArgyle, TX$1.5k$1.7k$1.9k$2.6k$450
4Medical City AllianceSAGINAW, TX$1.5k$2.2k$2.1k$2.6k$479
5St Luke's Methodist HospitalCedar Rapids, IA$467$509$509$1.3k$7
6Trinity Medical CenterRock Island, IL$413$581$2.3k$8.8k$3.2k
7Trinity Medical CenterBettendorf, IA$457$514$546$2.0k$97
8Unity HealthcareMuscatine, IA$458$514$2.1k$8.8k$3.1k
9Trinity Regional Medical CenterFort Dodge, IA$452$506$506$1.4k$7
10Meriter Hospital, IncMadison, WI$47$513$681$2.2k$399
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