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
$127
Average
$603
Median
$225
High
$1.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 9.8× 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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12 hospital rates
iThe hospitals that file a Aetna 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $192 | $192 | $66 | 34% | — | $126 – $258 |
| 2 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $137 | $143 | $55 | 39% | — | $78 – $213 |
| 4 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $122 | $127 | $49 | 39% | — | $69 – $189 |
| 5 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $135 | $140 | $54 | 39% | — | $77 – $209 |
| 6 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 8 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $126 | $149 | $89 | 60% | — | $0 – $258 |
| 9 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH professional · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 10 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Sarasota Memorial Hospital - Venice North Venice, FL fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $704 | $704 | — | — | — | $704 – $704 |
← Payers reporting CPT 91052 · Snapshot 20261113T090226Z-3ce6c0b8