Esophagus acid perfusion test esophagitis (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.
49 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Montrose Regional Health | Montrose, CO | $52.50 | $70 | $393.64 | 0.1× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $321.61 | 0.2× |
| UK St. Claire Regional Medical Center | Morehead, KY | $66.75 | $89 | $361.22 | 0.2× |
| Unity Health - White County Medical Center | Searcy, AR | $71 | $284 | $339.77 | 0.2× |
| Unity Health - Jacksonville | Jacksonville, AR | $71 | $284 | $350.61 | 0.2× |
| Unity Health - Newport | Newport, AR | $71 | $284 | $339.77 | 0.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $84 | $281 | $374.86 | 0.2× |
| Memorial Medical Center | Port Lavaca, TX | $90.92 | $129.88 | $374.86 | 0.2× |
| Norton Hospital | Louisville, KY | $96 | $480 | $369.96 | 0.3× |
| East Carroll Parish Hospital | Lake Providence, LA | $101.25 | $135 | $339.75 | 0.3× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $122.38 | $422 | $356.33 | 0.3× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $122.38 | $422 | $354.25 | 0.3× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $122.38 | $422 | $358 | 0.3× |
| Titus Regional Medical Center | Mount Pleasant, TX | $175.80 | $293 | $374.86 | 0.5× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $224.10 | $249 | $393.64 | 0.6× |
| Vanderbilt University Hospital | Nashville, TN | $227.88 | $422 | $366.30 | 0.6× |
| Aspire Hospital | Conroe, TX | $231 | $757 | $374.86 | 0.6× |
| Nebraska Medical Center | Omaha, NE | $249.80 | $384.30 | $387.48 | 0.6× |
| Bellevue Medical Center | Bellevue, NE | $249.80 | $384.30 | $387.48 | 0.6× |
| DeSoto Regional Health System | Mansfield, LA | $252 | $360 | $337.89 | 0.7× |
| UT Medical Center | Knoxville, TN | $300.25 | $1,201 | $338.56 | 0.9× |
| Gadsden Regional Medical Center | Gadsden, AL | $349.99 | $2,916.59 | $334.69 | 1.0× |
| Maria Parham Health | Henderson, NC | $352.88 | $882.20 | $356.67 | 1.0× |
| Tmc- Bonham Hospital | Bonham, TX | $359.70 | $1,200.10 | $374.86 | 1.0× |
| St. John's Medical Center | Jackson, WY | $373 | $373 | $381.24 | 1.0× |
| University Hospital – UMMC | Jackson, MS | $400 | $1,000 | $336.91 | 1.2× |
| UMMC Madison | Canton, MS | $400 | $1,000 | $336.91 | 1.2× |
| Baptist Memorial Hospital-Carroll County | Huntingdon, TN | $405.26 | $1,762 | $338.56 | 1.2× |
| Ascension Providence | Waco, TX | $434.97 | $1,208.25 | $374.86 | 1.2× |
| Merit Health Wesley | Hattiesburg, MS | $443.10 | $2,110 | $331.40 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $457.92 | — | $398.19 | 1.2× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $466.56 | — | $358 | 1.3× |
| Omega Hospital | Metairie, LA | $471.22 | $807.81 | $350.27 | 1.3× |
| Regional Medical Center | Anniston, AL | $495.33 | $762.05 | $349.47 | 1.4× |
| Lakeside Medical Center | Belle Glade, FL | $532.61 | — | $389.68 | 1.4× |
| Our Lady of the Lake Regional Medical Center | Baton Rouge, LA | $569 | $1,138 | $337.89 | 1.7× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $582.62 | — | $338.88 | 1.7× |
| St. Dominic Hospital | Jackson, MS | $597 | $1,194 | $336.91 | 1.8× |
| Griffin Hospital | Derby, CT | $634.32 | — | $447.35 | 1.4× |
| Hilton Head Medical Center | Hilton Head Island, SC | $845.19 | — | $347.07 | 2.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $845.19 | — | $347.07 | 2.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $845.19 | — | $347.07 | 2.4× |
| Womans Hospital of Texas,the | Houston, TX | $890.47 | $890.47 | $374.86 | 2.4× |
| Northwest Surgical Hospital | Oklahoma City, OK | $1,076.67 | — | $358.89 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $1,076.67 | — | $358.89 | 3.0× |
| Duncan Regional Hospital, Inc | Duncan, OK | $1,081.78 | — | $358.89 | 3.0× |
| Connecticut Children's Medical Center | Hartford, CT | $1,267.20 | $2,112 | $447.35 | 2.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $2,355.10 | $2,355.10 | $393.64 | 6.0× |
| North Austin Medical Center | Austin, TX | $6,657 | $6,657 | $374.86 | 17.8× |
"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.