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
York, PA
See all hospitals reporting CPT 91037 →Price type
UPMC Memorial’s median price of $481 is 43% above the median hospital's median price ($336), higher than 64% 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: 7 payers, 18 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 | Highmark medicare facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 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 · outpatientfrom % of charges | $415 | $415 | — | — | — | $415 – $415 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $482 | $482 | — | — | — | $482 – $482 |
| 10 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 11 | Highmark medicaid facility · fee schedule · outpatient | $567 | $567 | $422 | 75% | — | $144 – $989 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $571 | $571 | — | — | — | $571 – $571 |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $608 | $608 | — | — | — | $608 – $608 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $608 | $608 | — | — | — | $608 – $608 |
| 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 facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 6, 2026
See Esophageal reflux test using impedance monitoring pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.