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.
Original text from hospital filings
HC Esoph Balloon Distension Tst
Low
$52
Average
$1.1k
Median
$616
High
$34.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
262 hospitals; the 90th percentile is 7.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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462 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $981 | $864 | $304 | 35% | 2–20 | $374 – $1.1k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $981 | $864 | $304 | 35% | 2–20 | $374 – $1.1k |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $2.5k | $2.6k | $780 | 30% | 2–20 | $1.6k – $3.7k |
| 4 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $889 | $763 | $297 | 39% | — | $353 – $1.0k |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $1000 | $1000 | $163 | 16% | — | $836 – $1.2k |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $827 | $828 | $287 | 35% | — | $477 – $1.2k |
| 9 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $235 | $277 | $227 | 82% | — | $45 – $591 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1.6k | $1.5k | $240 | 16% | — | $1.2k – $1.7k |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.3k | $408 | 31% | — | $693 – $1.7k |
| 13 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.5k | $1.5k | $197 | 13% | — | $1.2k – $1.7k |
| 15 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $531 | $531 | — | — | — | $531 – $531 |
| 16 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $531 | $531 | — | — | — | $531 – $531 |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $1.4k | $1.2k | $496 | 41% | — | $531 – $1.7k |
| 18 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $52 | $52 | — | — | — | $52 – $52 |
| 20 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $52 | $52 | — | — | — | $52 – $52 |
| 21 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $52 | $52 | — | — | — | $52 – $52 |
| 22 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $237 | $181 | $104 | 57% | — | $36 – $272 |
| 23 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $387 | $291 | $172 | 59% | — | $49 – $436 |
| 24 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $1.1k | $1.2k | $959 | 82% | — | $195 – $2.3k |
| 25 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 1 | $132 | $132 | — | — | — | $132 – $132 |
← Payers reporting CPT 91040 · Snapshot 20261111T120946Z-9134e7f7