Esophageal reflux test using wireless pH monitoring at MVHS, Inc.

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

Gastroesophag Reflx Test W/Telemtry Ph Eltrd

Utica, NY

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How this price compares nationally

MVHS, Inc.’s median price of $67 is 93% below the median hospital's median price ($940), higher than 1% of the 1,917 hospitals reporting CPT 91035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91035 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 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	Excellus excellus bcbs medicaid hmo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
2	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
3	Excellus excellus bcbs medicaid fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
4	UnitedHealthcare uhc empire plan fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
5	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
6	Humana choicecare fee schedule · both	$240	$240	$164	69%	—	$75 – $404
7	Humana humana medicare advantage fee schedule · both	$240	$240	$164	69%	—	$75 – $404
8	Aetna aetna medicare advantage fee schedule · both	$281	$281	$198	71%	—	$82 – $479
9	Medicare medicare fee schedule · both	$281	$281	$198	71%	—	$82 – $479
10	WellCare wellcare fee schedule · both	$289	$289	$204	71%	—	$85 – $493
11	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$321	$321	$220	69%	—	$101 – $541
12	Cigna mvp hmo/ppo fee schedule · both	$321	$321	$220	69%	—	$101 – $541
13	Humana humana military percent of total billed charges · inpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
14	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
15	Humana humana military other · outpatient	$597	$597	—	—	—	$597 – $597
16	Tricare humana military other · outpatient	$597	$597	—	—	—	$597 – $597
17	Excellus excellus bcbs medicare advantage other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
18	Humana humana medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Medicare medicare other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
20	Optum vaccn optum other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	UnitedHealthcare uhc medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Aetna aetna medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	WellCare wellcare medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	1–10	$1.7k – $1.7k
25	UnitedHealthcare uhc commercial fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k

Page 1 of 2 · 28 rates

Last updated: Aug 7, 2026

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