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CPT 91038

91038,26 ESOPH IMPED FUNCT TEST > 1HR

Reported by 15 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$31

Average

$509

Median

$396

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$350$395$395$1.6k—
2Bluffton Health System LLCBluffton, IN$350$395$395$1.6k—
3Dukes Health System LLCPeru, IN$28$31$31$580—
4Warsaw Health System LLCWarsaw, IN$374$423$423$1.6k—
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$350$592$592$1.6k$197
6St. Joseph Health System, LLCIN 46802, IN$350$395$395$1.6k—
7Dupont Hospital LLCIN 46825, IN$350$494$494$1.6k$99
8Northwest Sahurita Hospital LLCAZ 85748, AZ$392$396$396$757$4
9Northwest Sahurita Hospital LLCAZ 85629, AZ$392$396$396$757$4
10Oro Valley Hospital LLCTucson, AZ$392$396$396$916$4
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