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 GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD
Quincy, IL
See all hospitals reporting CPT 91037 →Price type
Blessing Hospital’s median price of $290 is 13% below the median hospital's median price ($334), higher than 35% of the 1,681 hospitals reporting CPT 91037. 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, 22 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 | UnitedHealthcare commercial professional · fee schedule · both | $105 | $101 | $43 | 43% | — | $46 – $151 |
| 2 | Aetna commercial professional · case rate · both | $125 | $117 | $51 | 44% | — | $51 – $175 |
| 3 | UnitedHealthcare medicare advantage professional · case rate · both | $125 | $117 | $51 | 44% | — | $51 – $175 |
| 4 | Blue Cross Blue Shield commercial professional · fee schedule · both | $168 | $171 | $69 | 40% | — | $89 – $257 |
| 5 | Bcbs Il commercial professional · fee schedule · both | $240 | $231 | $98 | 43% | — | $106 – $346 |
| 6 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | 1–10 | $275 – $275 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $280 | $280 | — | — | — | $280 – $280 |
| 9 | Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 10 | Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 11 | Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 12 | Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 19 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $349 | $349 | — | — | — | $349 – $349 |
| 21 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $409 | $409 | — | — | — | $409 – $409 |
| 22 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $436 | $436 | — | — | — | $436 – $436 |
Last updated: Jun 8, 2026
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