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CPT 91111

Esophageal Capsule Endo

Reported by 15 hospitals in the network under the per diem methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated per diem rate paid per day of care.

National pricing summary

Low

$27

Average

$954

Median

$962

High

$2.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$153$153$405$6.8k$374
2Bluffton Health System LLCBluffton, IN$850$960$960$3.9k—
3Dukes Health System LLCPeru, IN$27$27$27$1.3k—
4Warsaw Health System LLCWarsaw, IN$118$153$370$3.9k$380
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$850$1.4k$1.4k$3.9k$480
6St. Joseph Health System, LLCWayne, IN$153$153$277$6.8k$291
7Dupont Hospital LLCWayne, IN$850$1.2k$1.2k$3.9k$240
8Northwest Sahurita Hospital LLCTucson, AZ$952$962$962$1.8k$10
9Victoria of Texas LPVictoria, TX$236$889$1.2k$3.8k$546
10Victoria of Texas LPVictoria, TX$236$889$1.2k$3.8k$546
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