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
Esophagus, Gastroesophageal Reflux Test; W/Mucosal Attach Tele Ph Electrode, Record, Analys, Interp
Wadena, MN
See all hospitals reporting CPT 91035 →Price type
Astera Health’s median price of $637 is 32% below the median hospital's median price ($940), higher than 26% of the 1,909 hospitals reporting CPT 91035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 34 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 mr-bcbs mn [400069] fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Medica mr-medica advantage solutions [100895] fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Medica mr-medica dual solutions msho [100344] fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 4 | Ucare mr-ucare [300064] fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Ucare mr-ucare msho [300061] fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Medica medica mncare [100751] fee schedule · inpatient | $333 | $333 | — | — | — | $333 – $333 |
| 7 | Medica medica mncare [100751] fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 8 | Medica medica pmap [100345] fee schedule · inpatient | $333 | $333 | — | — | — | $333 – $333 |
| 9 | Medica medica pmap [100345] fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 10 | Ucare ucare pmap [300063] fee schedule · outpatient | $338 | $338 | — | — | — | $338 – $338 |
| 11 | Ucare ucare pmap [300063] fee schedule · inpatient | $366 | $366 | — | — | — | $366 – $366 |
| 12 | Sanford Health Plan sanford health plan [100578] fee schedule · inpatient | $557 | $557 | — | — | — | $557 – $557 |
| 13 | Sanford Health Plan sanford health plan [100578] fee schedule · outpatient | $603 | $603 | — | — | — | $603 – $603 |
| 14 | UnitedHealthcare united healthcare [100453] fee schedule · inpatient | $637 | $637 | — | — | — | $637 – $637 |
| 15 | UnitedHealthcare united healthcare [100453] fee schedule · outpatient | $637 | $637 | — | — | — | $637 – $637 |
| 16 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $655 | $655 | — | — | — | $655 – $655 |
| 17 | Medica medica [100341] fee schedule · outpatient | $795 | $795 | — | — | — | $795 – $795 |
| 18 | Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 19 | Blue Cross Blue Shield bcbs high value network fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 20 | Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 21 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $843 | $843 | — | — | — | $843 – $843 |
| 22 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $843 | $843 | — | — | — | $843 – $843 |
| 23 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $863 | $863 | — | — | — | $863 – $863 |
| 24 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $863 | $863 | — | — | — | $863 – $863 |
| 25 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $863 | $863 | — | — | — | $863 – $863 |
Last updated: Feb 20, 2026
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