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
$172
Average
$1.8k
Median
$815
High
$6.4k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 12.6× 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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14 hospital rates
iThe hospitals that file a Carefirst 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $69 | $68 | $23 | 34% | — | $43 – $91 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $69 | $68 | $23 | 34% | — | $43 – $91 |
| 5 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 6 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $51 | $169 | $170 | 101% | — | $46 – $410 |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 8 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 9 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 13 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $543 | $543 | — | — | — | $543 – $543 |
← Payers reporting CPT 91040 · Snapshot 20261111T120946Z-9134e7f7