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
GI BRAVO REFLUX TEST W ELECTRODE
Duluth, GA
See all hospitals reporting CPT 91035 →Price type
Northside Hospital, Inc.’s median price of $4.2k is 352% above the median hospital's median price ($940), higher than 98% 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: 14 payers, 74 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 bcbs medicare advantage-p fee schedule · outpatient | $368 | $1.5k | $1.6k | 107% | — | $368 – $3.8k |
| 2 | Medicare medicare fee schedule · outpatient | $368 | $1.5k | $1.6k | 107% | — | $368 – $3.8k |
| 3 | UnitedHealthcare uhc medicare fee schedule · outpatient | $368 | $1.5k | $1.6k | 107% | — | $368 – $3.8k |
| 4 | Aetna aetna medicare fee schedule · outpatient | $372 | $1.5k | $1.6k | 107% | — | $372 – $3.8k |
| 5 | Humana humana medicare advantage hmo fee schedule · outpatient | $372 | $1.5k | $1.6k | 107% | — | $372 – $3.8k |
| 6 | Kaiser kaiser medicare advantage fee schedule · outpatient | $379 | $1.6k | $1.7k | 107% | — | $379 – $3.9k |
| 7 | WellCare wellcare medicare advantage fee schedule · outpatient | $379 | $1.6k | $1.7k | 107% | — | $379 – $3.9k |
| 8 | Humana humana medicare advantage ppo fee schedule · outpatient | $383 | $1.6k | $1.7k | 107% | — | $383 – $3.9k |
| 9 | Caresource caresource medicare advantage fee schedule · outpatient | $379 | $1.7k | $1.8k | 110% | — | $379 – $4.3k |
| 10 | Clover clover health fee schedule · outpatient | $387 | $1.7k | $1.9k | 110% | — | $387 – $4.4k |
| 11 | UnitedHealthcare uhc ga individual exchange case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | UnitedHealthcare uhc heritage select case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Tricare tricare fee schedule · outpatient | $872 | $2.3k | $2.0k | 88% | — | $872 – $5.1k |
| 14 | UnitedHealthcare uhc hmo/pos/ppo case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 15 | UnitedHealthcare uhc hmo/pos/ppo-g case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | UnitedHealthcare uhc hmo/pos/ppo-t case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Caresource caresource other · outpatient | $890 | $2.8k | $2.6k | 96% | — | $890 – $6.5k |
| 19 | Oscar oscar case rate · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Cigna cigna healthsprings medicare advantage other · outpatient | $1.2k | $3.7k | $3.5k | 96% | — | $1.2k – $8.7k |
| 21 | Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 23 | Kaiser kaiser_hmo-bariatric percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 24 | Kaiser kaiser_hmo-gcs percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 25 | Kaiser kaiser_hmo-gpg/noas percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
Last updated: Feb 14, 2026
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