CPT 91052
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
GASTRIC ANALYSIS TEST UNSCHEDULED
Low
$112
Average
$580
Median
$480
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 9.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 9 | $780 | $714 | $246 | 34% | — | $342 – $1.6k |
| 2 | Aetna fee schedule · outpatient · +3 other terms | 5 | $1.3k | $1.2k | $256 | 21% | — | $704 – $1.4k |
| 3 | Anthem facility · fee schedule · outpatient · +2 other terms | 5 | $174 | $745 | $1.6k | 215% | — | $58 – $5.3k |
| 4 | First Health fee schedule · both · +2 other terms | 5 | $92 | $92 | $36 | 39% | — | $50 – $137 |
| 5 | Cigna other · both · +2 other terms | 3 | $441 | $442 | $6 | 1% | — | $429 – $445 |
| 6 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $113 | $116 | $47 | 40% | — | $57 – $194 |
| 7 | Aetna Better Health fee schedule · inpatient | 2 | $454 | $454 | — | — | — | $454 – $454 |
| 8 | Excellus fee schedule · outpatient | 2 | $1.6k | $1.5k | $187 | 12% | — | $1.0k – $1.6k |
| 9 | Humana fee schedule · outpatient · +1 other terms | 2 | $6.1k | $6.3k | $1.5k | 23% | — | $5.0k – $8.3k |
| 10 | Kaiser fee schedule · both | 2 | $154 | $154 | $21 | 14% | — | $133 – $175 |
← Hospitals reporting CPT 91052 · Snapshot 20261113T090226Z-3ce6c0b8