Esophageal reflux test using impedance monitoring at UPMC Lititz

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC G-ESOPH REFLX TST W/NASAL CATH

Lititz, PA

See all hospitals reporting CPT 91037 →

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How this price compares nationally

UPMC Lititz’s median price of $447 is 33% above the median hospital's median price ($336), higher than 61% of the 1,669 hospitals reporting CPT 91037. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 91037 at UPMC Lititz

Negotiated rates from the hospital’s own file: 7 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	$201	$201	—	—	—	$201 – $201
4	Highmark medicare facility · fee schedule · outpatient	$296	$296	—	—	—	$296 – $296
5	Aetna medicare facility · fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
6	Cigna medicare facility · fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$320	$320	—	—	—	$320 – $320
8	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
9	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$395	$395	—	—	—	$395 – $395
10	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$447	$447	—	—	—	$447 – $447
11	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
12	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$471	$471	—	—	—	$471 – $471
13	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$471	$471	—	—	—	$471 – $471
14	Highmark medicaid facility · fee schedule · outpatient	$533	$533	$388	73%	—	$144 – $921
15	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$784	$784	—	—	—	$784 – $784
16	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$854	$854	—	—	—	$854 – $854
17	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$854	$854	—	—	—	$854 – $854
18	Highmark commercial - children's health insurance facility · fee schedule · outpatient	$884	$884	—	—	—	$884 – $884
19	Highmark commercial facility · fee schedule · outpatient	$941	$941	—	—	—	$941 – $941

Last updated: Mar 6, 2026

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