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
G-ESOPH REFLX TST W/ELECTROD
Boulder, CO
See all hospitals reporting CPT 91035 →Price type
Boulder Community Health’s median price of $598 is 36% below the median hospital's median price ($940), higher than 25% of the 1,917 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: 10 payers, 28 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 | Aetna medicare advantage professional · case rate · both | $444 | $354 | $192 | 54% | — | $87 – $530 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $444 | $354 | $192 | 54% | — | $87 – $530 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $444 | $354 | $192 | 54% | — | $87 – $530 |
| 4 | Humana medicare advantage professional · fee schedule · both | $444 | $354 | $192 | 54% | — | $87 – $530 |
| 5 | Healthpartners managed medicaid professional · fee schedule · both | $377 | $377 | — | — | — | $377 – $377 |
| 6 | Anthem commercial professional · fee schedule · both | $498 | $438 | $247 | 56% | — | $100 – $805 |
| 7 | Kaiser medicare advantage professional · fee schedule · both | $550 | $438 | $238 | 54% | — | $108 – $658 |
| 8 | MultiPlan commercial professional · fee schedule · both | $573 | $464 | $246 | 53% | — | $123 – $696 |
| 9 | Phcs commercial professional · fee schedule · both | $573 | $464 | $246 | 53% | — | $123 – $696 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $487 | $494 | $295 | 60% | — | $87 – $916 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $651 | $524 | $280 | 53% | — | $136 – $787 |
| 12 | Cigna commercial professional · fee schedule · both | $658 | $528 | $284 | 54% | — | $134 – $793 |
| 13 | Anthem managed care professional · fee schedule · both | $671 | $537 | $290 | 54% | — | $134 – $805 |
| 14 | Kaiser commercial professional · fee schedule · both | $701 | $559 | $303 | 54% | — | $137 – $838 |
| 15 | Aetna commercial professional · fee schedule · both | $795 | $638 | $343 | 54% | — | $162 – $956 |
| 16 | Aetna ppo professional · fee schedule · both | $795 | $638 | $343 | 54% | — | $162 – $956 |
| 17 | Cigna commercial facility · fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 20 | Humana medicare advantage facility · case rate · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $939 | $939 | $5 | 0% | — | $934 – $943 |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $943 | $943 | — | — | — | $943 – $943 |
| 24 | UnitedHealthcare commercial facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Kaiser commercial facility · case rate · outpatient | $2.0k | $2.0k | $242 | 12% | — | $1.8k – $2.2k |
Last updated: Sep 16, 2026
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