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 G-ESOPH REFLX TST W/NASAL CATH
Hanover, PA
See all hospitals reporting CPT 91037 →Price type
UPMC Hanover’s median price of $399 is 19% above the median hospital's median price ($336), higher than 57% of the 1,672 hospitals reporting CPT 91037. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 pa medicaid facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 5 | Humana medicare facility · fee schedule · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $310 | $310 | — | — | — | $310 – $310 |
| 7 | Cigna medicare facility · fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $318 | $318 | — | — | — | $318 – $318 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $566 | $566 | $421 | 74% | — | $144 – $987 |
| 10 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $571 | $571 | — | — | — | $571 – $571 |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $683 | $683 | — | — | — | $683 – $683 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $683 | $683 | — | — | — | $683 – $683 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $732 | $732 | — | — | — | $732 – $732 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $784 | $784 | — | — | — | $784 – $784 |
| 15 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $854 | $854 | — | — | — | $854 – $854 |
| 16 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $854 | $854 | — | — | — | $854 – $854 |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $854 | $854 | — | — | — | $854 – $854 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $854 | $854 | — | — | — | $854 – $854 |
| 19 | Highmark commercial facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 6, 2026
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