Stomach electrical activity test with provocation at Methodist Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ELECTROGASTPHY W/PROVOTV

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $820 is 293% above the median hospital's median price ($209), higher than 84% of the 1,302 hospitals reporting CPT 91133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91133 at Methodist Hospital

Negotiated rates from the hospital’s own file: 9 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	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$270	$270	—	—	—	$270 – $270
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
3	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$294	$294	—	—	—	$294 – $294
4	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$294	$294	—	—	—	$294 – $294
5	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
6	Blue Cross Blue Shield ppo fee schedule · outpatient	$349	$349	—	—	—	$349 – $349
7	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$412	$412	—	—	—	$412 – $412
8	First Health hmo percent of total billed charges · outpatientfrom % of charges	$443	$443	—	—	—	$443 – $443
9	Cigna comm percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476
10	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$479	$479	—	—	—	$479 – $479
11	Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges	$484	$484	—	—	—	$484 – $484
12	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
13	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$525	$525	—	—	—	$525 – $525
14	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$525	$525	—	—	—	$525 – $525
15	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
16	First Health comm percent of total billed charges · outpatientfrom % of charges	$723	$723	—	—	—	$723 – $723
17	Aetna asa percent of total billed charges · outpatientfrom % of charges	$820	$820	—	—	—	$820 – $820
18	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Optum mcd percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	UnitedHealthcare smallgroup case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
22	UnitedHealthcare charter case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
23	UnitedHealthcare nexusaco case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
24	UnitedHealthcare allpayerappendix case rate · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
25	Oscar broadnetworkhix case rate · outpatient	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k

Page 1 of 2 · 28 rates

Last updated: May 1, 2026

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