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
$84
Average
$694
Median
$587
High
$2.8k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 2.5× 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.
Filter by billing methodology
Filter by billing class
111 hospital rates
iThe hospitals that file a Medica 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 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $543 | $543 | — | — | 2–20 | $543 – $543 |
| 2 | Fairview Health Services Princeton, MN other · inpatient | 1 | $569 | $569 | — | — | 2–20 | $569 – $569 |
| 3 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $600 | $805 | $379 | 47% | 2–20 | $478 – $1.3k |
| 4 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 3 | $542 | $868 | $504 | 58% | 2–20 | $484 – $1.6k |
| 5 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $542 | $846 | $521 | 62% | 2–20 | $417 – $1.6k |
| 6 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $478 | $739 | $425 | 57% | 2–20 | $400 – $1.3k |
| 7 | Mayo Clinic Rochester, MN facility · other · both | 2 | $459 | $459 | $15 | 3% | 1–10 | $443 – $474 |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $3.5k | $3.2k | $679 | 21% | 1–10 | $1.8k – $3.6k |
| 9 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 3 | $953 | $924 | $321 | 35% | — | $517 – $1.3k |
| 10 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $757 | $757 | $128 | 17% | — | $630 – $885 |
| 11 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 3 | $953 | $924 | $321 | 35% | — | $517 – $1.3k |
| 12 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $757 | $757 | $128 | 17% | — | $630 – $885 |
| 13 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 3 | $953 | $924 | $321 | 35% | — | $517 – $1.3k |
| 14 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $757 | $757 | $128 | 17% | — | $630 – $885 |
| 15 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $517 | $517 | — | — | — | $517 – $517 |
| 16 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 3 | $953 | $924 | $321 | 35% | — | $517 – $1.3k |
| 17 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $757 | $757 | $128 | 17% | — | $630 – $885 |
| 18 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 3 | $953 | $924 | $321 | 35% | — | $517 – $1.3k |
| 19 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $757 | $757 | $128 | 17% | — | $630 – $885 |
| 20 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $410 | $541 | $317 | 59% | — | $278 – $1.3k |
| 21 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $410 | $541 | $317 | 59% | — | $278 – $1.3k |
| 22 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $417 | $417 | — | — | — | $417 – $417 |
| 23 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $128 | $196 | $166 | 85% | — | $49 – $478 |
| 24 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 25 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $392 | $392 | — | — | — | $392 – $392 |
← Payers reporting CPT 91040 · Snapshot 20261111T120946Z-9134e7f7