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CPT 91040

PR ESOPHGL BALO DISTENSION DX STD W/PROVOCATION

Reported by 523 hospitals in the network.

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.

National pricing summary

Low

$169

Average

$1.4k

Median

$1.0k

High

$12.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$44$526$654$2.0k$459
2Northwest Iowa Hospital CorporationSioux City, IA$44$470$577$1.4k$409
3St Luke'sJones Regional Medical CenterAnamosa, IA$44$439$546$1.3k$415
4Medical Ctiy ArgyleArgyle, TX$1.0k$1.7k$1.9k$2.7k$477
5Medical City AllianceSAGINAW, TX$1.0k$2.2k$2.1k$2.7k$508
6St Luke's Methodist HospitalCedar Rapids, IA$44$484$590$1.3k$403
7Trinity Medical CenterRock Island, IL$44$553$662$2.0k$485
8Trinity Medical CenterBettendorf, IA$44$461$584$1.4k$408
9University of Iowa Health Care Medical Center DowntownIowa City, IA$71$445$763$2.5k$617
10Unity HealthcareMuscatine, IA$44$489$646$2.0k$483
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