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
CAPSULE IMAGING-ESOPH ONLY
Monroeville, PA
See all hospitals reporting CPT 91111 →Price type
UPMC East’s median price of $4.1k is 266% above the median hospital's median price ($1.1k), higher than 95% of the 1,577 hospitals reporting CPT 91111. 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $939 | $939 | — | — | — | $939 – $939 |
| 2 | UnitedHealthcare medicare facility · fee schedule · outpatient | $956 | $956 | — | — | — | $956 – $956 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $961 | $961 | $22 | 2% | — | $939 – $983 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $965 | $965 | — | — | — | $965 – $965 |
| 5 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $965 | $965 | — | — | — | $965 – $965 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $965 | $965 | — | — | — | $965 – $965 |
| 7 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 8 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Highmark managed care - social mission facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 12 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 13 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 15 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 16 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 19 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 20 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | Highmark managed care facility · fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 25 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
Last updated: Mar 6, 2026
See Capsule endoscopy of the esophagus with report pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.