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
GI WIRELSS CAPSULE W I R
Carmichael, CA
See all hospitals reporting CPT 91112 →Price type
Dignity Health’s median price of $1.7k is 31% above the median hospital's median price ($1.3k), higher than 71% of the 1,524 hospitals reporting CPT 91112. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Kaiser medicaid|all plans fee schedule · outpatient | $863 | $863 | — | — | — | $863 – $863 |
| 2 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Kaiser commercial|all plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Anthem medicare|all other plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Humana commercial|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Humana medicare|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Kaiser medicare|all plans case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Molina medicare|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Anthem medicare|imperial fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | First Health commercial|all plans fee schedule · inpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | First Health commercial|all plans fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Anthem commercial|connection epo fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | MultiPlan commercial|all plans fee schedule · inpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | MultiPlan commercial|all plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Molina medicaid|all plans fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Anthem medicaid|all plans fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Anthem commercial|all other plans fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Anthem commercial|mcs fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Feb 28, 2026
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