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
HC Test Reflux Esophagus/Gastroesophageal Mucosal Telemetry Electrode Placement
Troy, NY
See all hospitals reporting CPT 91035 →Price type
Samaritan Hospital’s median price of $1.7k is 81% above the median hospital's median price ($940), higher than 83% of the 1,917 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: 15 payers, 37 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 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Anthem empire medicaid facility · fee schedule · both | $158 | $158 | — | — | — | $158 – $158 |
| 3 | Excellus empire medicaid facility · fee schedule · both | $158 | $158 | — | — | — | $158 – $158 |
| 4 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $334 | $334 | — | — | — | $334 – $334 |
| 5 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $334 | $334 | — | — | — | $334 – $334 |
| 6 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $415 | $415 | — | — | — | $415 – $415 |
| 7 | Anthem empire bcbs medicare advantage facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Anthem empire bcbs hmo epo ppo indemnity facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Wellmark empire bcbs hmo epo ppo indemnity facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Aetna aetna medicare advantage facility · other · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | WellCare wellcare medicare advantage facility · other · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Excellus blue shield of ne new york medicare adv facility · other · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Highmark blue shield of ne new york medicare adv facility · other · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Carefirst blue shield of ne new york ppo facility · fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Excellus blue shield of ne new york ppo facility · fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Highmark blue shield of ne new york ppo facility · fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Mar 31, 2026
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