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
BREATH HYDROGEN/METHANE TEST
Maple Grove, MN
See all hospitals reporting CPT 91065 →Price type
Fairview Maple Grove Surgery Center’s median price of $65 is 73% below the median hospital's median price ($238), higher than 12% of the 1,590 hospitals reporting CPT 91065. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 35 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid medicaid fee schedule · both | $27 | $27 | $20 | 76% | — | $6 – $47 |
| 2 | Ucare mhcp fee schedule · both | $41 | $32 | $18 | 57% | — | $6 – $48 |
| 3 | Medica accessability fee schedule · both | $50 | $38 | $22 | 58% | — | $7 – $57 |
| 4 | Medica medicaid fee schedule · both | $50 | $38 | $22 | 58% | — | $7 – $57 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $53 | $40 | $24 | 58% | — | $8 – $61 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $55 | $42 | $24 | 57% | — | $9 – $63 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $57 | $44 | $25 | 57% | — | $9 – $66 |
| 8 | Medica ma non-snp fee schedule · both | $59 | $45 | $26 | 57% | — | $9 – $68 |
| 9 | Medica ma snp fee schedule · both | $59 | $45 | $26 | 57% | — | $9 – $68 |
| 10 | Medica prime solution fee schedule · both | $59 | $45 | $26 | 57% | — | $9 – $68 |
| 11 | Medica vantage fee schedule · both | $59 | $45 | $26 | 57% | — | $9 – $68 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 13 | Ucare ifp with fairview fee schedule · both | $144 | $111 | $63 | 57% | — | $23 – $167 |
| 14 | Blue Cross Blue Shield federal fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 15 | Blue Cross Blue Shield commercial fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 16 | Ucare ifp fee schedule · both | $152 | $117 | $67 | 57% | — | $24 – $176 |
| 17 | Medica bold fee schedule · both | $199 | $152 | $88 | 58% | — | $29 – $228 |
| 18 | UnitedHealthcare commercial fee schedule · both | $204 | $156 | $90 | 58% | — | $30 – $234 |
| 19 | Blue Cross Blue Shield federal fee schedule · both | $216 | $165 | $95 | 57% | — | $32 – $248 |
| 20 | Blue Cross Blue Shield commercial fee schedule · both | $219 | $168 | $97 | 57% | — | $33 – $252 |
| 21 | Medica choice without / elect fee schedule · both | $221 | $169 | $98 | 58% | — | $32 – $253 |
| 22 | Medica city of st paul / essential uplan fee schedule · both | $221 | $169 | $98 | 58% | — | $32 – $253 |
| 23 | Cigna commercial fee schedule · outpatient | $174 | $174 | $15 | 9% | — | $159 – $189 |
| 24 | Medica choice with fee schedule · both | $229 | $175 | $101 | 58% | — | $33 – $262 |
| 25 | Medica accessability fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
Last updated: May 18, 2026
See Breath hydrogen or methane test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.