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
91035,26 G-ESOPH REFLX TST W/ELECTROD
Peru, IN
See all hospitals reporting CPT 91035 →Price type
Dukes Health System LLC’s median price of $239 is 75% below the median hospital's median price ($940), higher than 4% 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 | Tricare node tricare facility · fee schedule · outpatient | $131 | $140 | $103 | 74% | — | $36 – $263 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $139 | $149 | $109 | 74% | — | $38 – $279 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $139 | $149 | $109 | 74% | — | $38 – $279 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $139 | $149 | $109 | 74% | — | $38 – $279 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $142 | $151 | $111 | 74% | — | $39 – $284 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $142 | $151 | $111 | 74% | — | $39 – $284 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $142 | $151 | $111 | 74% | — | $39 – $284 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $142 | $152 | $112 | 74% | — | $39 – $285 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $142 | $152 | $112 | 74% | — | $39 – $285 |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $212 | $227 | $167 | 74% | — | $58 – $425 |
| 11 | Anthem anthem in work comp facility · other · outpatient | $226 | $242 | $178 | 74% | — | $62 – $454 |
| 12 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $255 | $272 | $200 | 74% | — | $70 – $510 |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $255 | $272 | $200 | 74% | — | $70 – $510 |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $255 | $272 | $200 | 74% | — | $70 – $510 |
| 15 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $255 | $272 | $200 | 74% | — | $70 – $510 |
| 16 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $300 | $321 | $236 | 74% | — | $82 – $601 |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $337 | $360 | $265 | 74% | — | $92 – $675 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $348 | $372 | $274 | 74% | — | $95 – $698 |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $566 | $605 | $445 | 74% | — | $155 – $1.1k |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $566 | $605 | $445 | 74% | — | $155 – $1.1k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $573 | $613 | $451 | 74% | — | $157 – $1.1k |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $573 | $613 | $451 | 74% | — | $157 – $1.1k |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $573 | $613 | $451 | 74% | — | $157 – $1.1k |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $573 | $613 | $451 | 74% | — | $157 – $1.1k |
| 25 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $708 | $757 | $556 | 74% | — | $194 – $1.4k |
Last updated: Apr 1, 2026
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