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
Electrogastrography W/Test
Devils Lake, ND
See all hospitals reporting CPT 91133 →Price type
Altru Hospital Devils Lake’s median price of $253 is 21% above the median hospital's median price ($209), higher than 58% of the 1,302 hospitals reporting CPT 91133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Aetna medicare managed care plan facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 3 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $186 | $186 | $27 | 15% | — | $159 – $213 |
| 4 | Aetna all commercial plans facility · fee schedule · outpatient | $194 | $194 | $51 | 26% | — | $143 – $245 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 6 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $266 | $266 | — | — | — | $266 – $266 |
| 7 | Medica medicaid managed care plan facility · fee schedule · outpatient | $309 | $309 | $56 | 18% | — | $253 – $365 |
| 8 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $309 | $309 | $56 | 18% | — | $253 – $365 |
| 9 | Medica medicare managed care plan facility · fee schedule · outpatient | $456 | $456 | $1 | 0% | — | $455 – $457 |
| 10 | Medica all commercial plans facility · fee schedule · outpatient | $1.0k | $1.0k | $259 | 26% | — | $745 – $1.3k |
Last updated: Mar 1, 2026
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