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
ESOPH MOTILITY STIM/PERF
Plano, TX
See all hospitals reporting CPT 91013 →Price type
Medical City Plano’s median price of $1.3k is 1009% above the median hospital's median price ($113), higher than 77% of the 1,176 hospitals reporting CPT 91013. 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, 39 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 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 7 | Blue Cross Blue Shield ppo fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 8 | Humana comm fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 9 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 10 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 11 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 12 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 14 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $416 | $416 | — | — | — | $416 – $416 |
| 15 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $431 | $431 | — | — | — | $431 – $431 |
| 16 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $502 | $502 | — | — | — | $502 – $502 |
| 17 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $536 | $536 | — | — | — | $536 – $536 |
| 18 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $733 | $733 | — | — | — | $733 – $733 |
| 19 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $755 | $755 | — | — | — | $755 – $755 |
| 20 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $789 | $789 | — | — | — | $789 – $789 |
| 21 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $789 | $789 | — | — | — | $789 – $789 |
| 22 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $813 | $813 | — | — | — | $813 – $813 |
| 23 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $813 | $813 | — | — | — | $813 – $813 |
| 24 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $909 | $909 | — | — | — | $909 – $909 |
| 25 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $909 | $909 | — | — | — | $909 – $909 |
Last updated: Mar 1, 2026
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