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
Boulder, CO
See all hospitals reporting CPT 91133 →Price type
Boulder Community Health’s median price of $504 is 141% above the median hospital's median price ($209), higher than 80% 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: 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 | Healthpartners managed medicaid professional · fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Aetna medicare advantage facility · case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 3 | Anthem medicare advantage facility · case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 4 | Humana medicare advantage facility · case rate · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 5 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 6 | Kaiser medicare advantage facility · case rate · outpatient | $145 | $145 | $1 | 0% | — | $145 – $146 |
| 7 | Devoted medicare advantage facility · case rate · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $323 | $305 | $220 | 72% | — | $35 – $540 |
| 9 | Kaiser commercial facility · case rate · outpatient | $310 | $310 | $37 | 12% | — | $272 – $347 |
| 10 | Kaiser managed care facility · case rate · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 11 | Aetna medicare advantage professional · case rate · both | $504 | $360 | $230 | 64% | — | $35 – $540 |
| 12 | Anthem medicare advantage professional · fee schedule · both | $504 | $360 | $230 | 64% | — | $35 – $540 |
| 13 | Devoted medicare advantage professional · fee schedule · both | $504 | $360 | $230 | 64% | — | $35 – $540 |
| 14 | Humana medicare advantage professional · fee schedule · both | $504 | $360 | $230 | 64% | — | $35 – $540 |
| 15 | Anthem commercial facility · case rate · outpatient | $318 | $360 | $88 | 24% | — | $275 – $504 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $508 | $376 | $227 | 61% | — | $56 – $564 |
| 17 | Kaiser medicare advantage professional · fee schedule · both | $625 | $446 | $285 | 64% | — | $44 – $669 |
| 18 | Anthem commercial professional · fee schedule · both | $568 | $446 | $294 | 66% | — | $41 – $820 |
| 19 | Aetna commercial professional · fee schedule · both | $620 | $458 | $278 | 61% | — | $66 – $687 |
| 20 | Aetna ppo professional · fee schedule · both | $620 | $458 | $278 | 61% | — | $66 – $687 |
| 21 | MultiPlan commercial professional · fee schedule · both | $650 | $467 | $295 | 63% | — | $51 – $700 |
| 22 | Phcs commercial professional · fee schedule · both | $650 | $467 | $295 | 63% | — | $51 – $700 |
| 23 | Anthem managed care facility · case rate · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 24 | Cigna commercial professional · fee schedule · both | $750 | $537 | $342 | 64% | — | $55 – $805 |
| 25 | Anthem managed care professional · fee schedule · both | $765 | $547 | $349 | 64% | — | $55 – $820 |
Last updated: Sep 16, 2026
See Stomach electrical activity test with provocation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.