CPT 91105
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.
Generation details were not recorded for this description.
Original text from hospital filings
GASTRIC INTUBATION TREATMENT UNSCHEDULED
Low
$0
Average
$3.5k
Median
$692
High
$14.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 39.5× 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.
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34 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $506 | $503 | $27 | 5% | — | $469 – $533 |
| 2 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $514 | $510 | $27 | 5% | — | $475 – $541 |
| 3 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $497 | $494 | $26 | 5% | — | $460 – $524 |
| 4 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $314 | $311 | $16 | 5% | — | $290 – $330 |
| 5 | Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient | 2 | $509 | $505 | $27 | 5% | — | $471 – $536 |
| 6 | Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient | 2 | $512 | $509 | $27 | 5% | — | $474 – $539 |
| 7 | Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient | 2 | $512 | $509 | $27 | 5% | — | $474 – $539 |
| 8 | Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient | 2 | $504 | $501 | $26 | 5% | — | $467 – $531 |
| 9 | Advocate Sherman Hospital Elgin, IL fee schedule · outpatient | 2 | $240 | $238 | $13 | 5% | — | $222 – $252 |
| 10 | Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient | 2 | $511 | $507 | $27 | 5% | — | $473 – $538 |
| 11 | Advocate Trinity Hospital Chicago, IL fee schedule · outpatient | 2 | $509 | $505 | $27 | 5% | — | $471 – $536 |
| 12 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 13 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 14 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Mission Hospital Regional Med Center Laguna Beach, CA fee schedule · outpatient | 2 | $5.9k | $5.9k | $536 | 9% | — | $5.4k – $6.4k |
| 16 | Monroe County Hospital Forsyth, GA fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Northbay Medical Center Vacaville, CA facility · fee schedule · outpatient | 1 | $874 | $874 | — | — | — | $874 – $874 |
| 18 | Providence Health System - Southern California Santa Monica, CA fee schedule · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Providence Health System - Southern California Burbank, CA fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | Providence Health System - Southern California Mission Hills, CA fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 21 | Providence Health System - Southern California Torrance, CA fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 22 | Providence Health System - Southern California San Pedro, CA fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Rady Children's Hospital - San Diego Murrieta, CA facility · fee schedule · outpatient | 2 | $4.7k | $4.7k | $185 | 4% | — | $4.6k – $4.9k |
| 24 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 7 | $257 | $242 | $59 | 24% | — | $141 – $301 |
| 25 | St Joseph Hospital of Orange Orange, CA fee schedule · outpatient | 2 | $12.6k | $12.6k | $1.1k | 9% | — | $11.5k – $13.7k |
← Payers reporting CPT 91105 · Snapshot 20261113T090226Z-3ce6c0b8