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
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt
Utica, NY
See all hospitals reporting CPT 91034 →Price type
MVHS, Inc.’s median price of $466 is 17% below the median hospital's median price ($562), higher than 35% of the 1,750 hospitals reporting CPT 91034. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 19 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 | Excellus excellus bcbs medicaid fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 7 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 8 | Excellus excellus bcbs medicare advantage other · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 9 | Humana humana medicare advantage other · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 10 | Medicare medicare other · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 11 | Optum vaccn optum other · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 12 | UnitedHealthcare uhc medicare advantage other · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 13 | Aetna aetna medicare advantage other · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 14 | WellCare wellcare medicare advantage other · outpatient | $480 | $480 | — | — | — | $480 – $480 |
| 15 | Humana humana military other · outpatient | $597 | $597 | — | — | — | $597 – $597 |
| 16 | Tricare humana military other · outpatient | $597 | $597 | — | — | — | $597 – $597 |
| 17 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $860 | $860 | — | — | 1–10 | $860 – $860 |
| 18 | Cigna mvp and cigna commercial other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | UnitedHealthcare uhc commercial fee schedule · outpatient | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
Last updated: Aug 7, 2026
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