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
PR MALONEY ESOPHAGEAL DILATOR 40
Low
$0
Average
$637
Median
$424
High
$4.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
41 payers; the 90th percentile is 34.8× 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 facility · fee schedule · outpatient · +12 other terms | 22 | $460 | $582 | $598 | 103% | — | $24 – $3.2k |
| 2 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 16 | $525 | $562 | $519 | 92% | — | $18 – $1.6k |
| 3 | Anthem facility · case rate · outpatient · +13 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +6 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +8 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +17 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Optum facility · case rate · outpatient · +4 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Cigna professional · fee schedule · outpatient · +13 other terms | 10 | $25 | $58 | $76 | 132% | — | $24 – $244 |
| 9 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 9 | $304 | $304 | $327 | 108% | — | $11 – $926 |
| 10 | Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $635 | $653 | $107 | 16% | — | $593 – $1.2k |
| 11 | Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges | 8 | $1.0k | $1.1k | $602 | 56% | — | $407 – $2.8k |
| 12 | Humana fee schedule · outpatient · +11 other terms | 7 | $4 | $3 | $1 | 33% | — | $1 – $4 |
| 13 | Oscar facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 7 | $720 | $720 | — | — | — | $720 – $720 |
| 14 | Aetna case rate · inpatient · +13 other terms | 6 | $65 | $66 | $2 | 2% | — | $65 – $68 |
| 15 | Medica per diem · inpatient · +6 other terms | 6 | $65 | $1.5k | $2.0k | 128% | — | $65 – $5.1k |
| 16 | Ambetter per diem · inpatient · +2 other terms | 4 | $65 | $66 | $1 | 2% | — | $65 – $68 |
| 17 | Aetna Better Health percent of total billed charges · bothfrom % of charges · +2 other terms | 3 | $23 | $28 | $37 | 135% | — | $5 – $170 |
| 18 | Carefirst percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $44 | $28 | $12 | 45% | — | $10 – $44 |
| 19 | Kaiser percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $75 | $78 | $17 | 21% | — | $50 – $101 |
| 20 | WellCare case rate · inpatient · +2 other terms | 3 | $65 | $65 | — | — | — | $65 – $65 |
| 21 | Bcbs Ok per diem · inpatient | 2 | $67 | $67 | $2 | 2% | — | $65 – $68 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $87 | $41 | 47% | — | $30 – $146 |
| 23 | Devoted case rate · inpatient · +2 other terms | 2 | $65 | $65 | — | — | — | $65 – $65 |
| 24 | Healthcare Highways percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $50 | $50 | $1 | 2% | — | $49 – $51 |
| 25 | Highmark fee schedule · both · +3 other terms | 2 | $4 | $4 | $0 | 7% | — | $3 – $4 |
← Hospitals reporting HCPCS E1399 · Snapshot 20261111T120946Z-9134e7f7