Esophagus, acid perfusion (Bernstein) test for esophagitis UNSCHEDULED (CPT 91030)
91030 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
5 of 309 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Montrose Regional Health | Montrose, CO | $52.50 | $70 | $393.64 | 0.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $224.10 | $249 | $393.64 | 0.6× |
| St. John's Medical Center | Jackson, WY | $373 | $373 | $381.24 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $532.61 | — | $389.68 | 1.4× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $2,355.10 | $2,355.10 | $393.64 | 6.0× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.