Esophageal reflux test using wireless pH monitoring at Carle Eureka Hospital

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

Gerd Tst W/ Mucos Ph Electrod

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $494 is 47% below the median hospital's median price ($940), higher than 15% of the 1,917 hospitals reporting CPT 91035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91035 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 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	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
2	Aetna commercial fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
3	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
5	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
6	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$430	$430	—	—	—	$430 – $430
7	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$430	$430	—	—	—	$430 – $430
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$443	$443	—	—	—	$443 – $443
9	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$443	$443	—	—	—	$443 – $443
10	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
11	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
12	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
13	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$527	$527	—	—	—	$527 – $527
15	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$674	$674	—	—	—	$674 – $674
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$725	$725	—	—	—	$725 – $725
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$725	$725	—	—	—	$725 – $725
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$735	$735	—	—	—	$735 – $735
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$823	$823	—	—	—	$823 – $823
21	WellCare medicare advantage hmo case rate · outpatient	$920	$920	—	—	—	$920 – $920
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$921	$921	—	—	—	$921 – $921

Last updated: Apr 15, 2026

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