Esophageal reflux test using wireless pH monitoring at Ascension Providence

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

G-ESOPH REFLX TST W/ELECTROD

Waco, TX

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How this price compares nationally

Ascension Providence’s median price of $536 is 43% below the median hospital's median price ($940), higher than 20% of the 1,903 hospitals reporting CPT 91035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91035 at Ascension Providence

Negotiated rates from the hospital’s own file: 6 payers, 14 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	Tricare 877_tricare outpatient 20250101 other · outpatient	$520	$520	—	—	—	$520 – $520
2	Tricare 986_tricare inpatient 20251001 other · inpatient	$520	$520	—	—	—	$520 – $520
3	WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient	$520	$520	—	—	—	$520 – $520
4	WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient	$520	$520	—	—	—	$520 – $520
5	Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient	$530	$530	—	—	—	$530 – $530
6	Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient	$530	$530	—	—	—	$530 – $530
7	UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient	$530	$530	—	—	—	$530 – $530
8	UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient	$530	$530	—	—	—	$530 – $530
9	Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 other · outpatient	$676	$676	—	—	—	$676 – $676
10	Ambetter 876_superior ambetter outpatient 20250101 other · outpatient	$780	$780	—	—	—	$780 – $780
11	Ambetter 985_superior ambetter inpatient 20251001 other · inpatient	$780	$780	—	—	—	$780 – $780
12	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient	$847	$847	—	—	—	$847 – $847
13	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$912	$912	—	—	—	$912 – $912
14	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Last updated: Jan 1, 2026

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