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CPT 91038

HB Esophgl Funcj G-Esop Rflx Impd Eltrd Prolng

Reported by 45 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$48

Average

$2.4k

Median

$536

High

$17.1k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$470$1.1k$1.1k$3.1k—
2IOM Health System LPFort Wayne, IN$350$632$595$1.6k$115
3Bluffton Health System LLCBluffton, IN$350$563$555$1.6k$136
4Dukes Health System LLCPeru, IN$28$49$48$580$9
5Warsaw Health System LLCWarsaw, IN$374$677$643$1.6k$115
6Lutheran Musculoskeletal Center LLCFort Wayne, IN$350$632$600$1.6k$126
7St. Joseph Health System, LLCIN 46802, IN$37$563$516$1.6k$198
8Dupont Hospital LLCIN 46825, IN$350$632$595$1.6k$115
9Wesley Health System LLCHattiesburg, MS$64$437$707$2.1k$513
10Northwest Sahurita Hospital LLCAZ 85748, AZ$318$373$440$8.0k$130
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