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
G-ESOPH REFLX TST W/ELECTROD
Teaneck, NJ
See all hospitals reporting CPT 91035 →Price type
Holy Name’s median price of $1.5k is 64% above the median hospital's median price ($940), higher than 78% of the 1,908 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: 9 payers, 21 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 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $364 | $364 | — | — | — | $364 – $364 |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 3 | Aetna medicare prime facility · fee schedule · outpatient | $562 | $562 | — | — | — | $562 – $562 |
| 4 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $570 | $570 | — | — | — | $570 – $570 |
| 5 | Aetna golden medicare facility · fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
| 6 | Clover clover facility · fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
| 8 | WellCare medicare facility · fee schedule · outpatient | $631 | $631 | — | — | — | $631 – $631 |
| 9 | Aetna whole health facility · fee schedule · outpatient | $998 | $998 | — | — | — | $998 – $998 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Cigna hmo/pos facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 19 | UnitedHealthcare uhc facility · case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 20 | Aetna qualified health plans facility · case rate · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | Aetna hmo/pos facility · case rate · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
Last updated: Nov 10, 2025
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