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
PR ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION (TC)
Cedar Rapids, IA
See all hospitals reporting CPT 91013 →Price type
St Luke's Methodist Hospital’s median price of $24 is 79% below the median hospital's median price ($113), higher than 23% of the 1,176 hospitals reporting CPT 91013. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Aetna medicare advantage fee schedule · both | $14 | $15 | $6 | 39% | — | $8 – $23 |
| 2 | Molina medicare advantage fee schedule · both | $14 | $15 | $6 | 39% | — | $9 – $23 |
| 3 | Wellmark medicare advantage fee schedule · both | $14 | $15 | $6 | 39% | — | $9 – $23 |
| 4 | Humana medicare advantage fee schedule · both | $15 | $16 | $6 | 39% | — | $9 – $24 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $15 | $16 | $6 | 39% | — | $9 – $24 |
| 6 | Wellmark commercial fee schedule · both | $30 | $32 | $12 | 39% | — | $17 – $47 |
| 7 | Wellmark hmo fee schedule · both | $30 | $32 | $12 | 39% | — | $17 – $47 |
| 8 | Aetna hmo fee schedule · both | $31 | $35 | $13 | 38% | — | $21 – $52 |
| 9 | Wellmark ppo fee schedule · both | $36 | $37 | $15 | 39% | — | $20 – $56 |
| 10 | Cigna commercial fee schedule · both | $38 | $40 | $16 | 39% | — | $22 – $60 |
| 11 | Aetna ppo fee schedule · both | $38 | $41 | $15 | 37% | — | $25 – $62 |
| 12 | UnitedHealthcare hmo fee schedule · both | $40 | $43 | $16 | 38% | — | $25 – $64 |
| 13 | UnitedHealthcare ppo fee schedule · both | $40 | $43 | $16 | 38% | — | $25 – $64 |
Last updated: Jan 28, 2026
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