Esoph balloon distension tst (CPT 91040)
91040 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.
26 of 118 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 |
|---|---|---|---|---|---|
| Longmont United Hospital | Longmont, CO | $358.56 | $896.40 | $398.01 | 0.9× |
| St. Anthony Hospital | Lakewood, CO | $358.56 | $896.40 | $393.64 | 0.9× |
| Penrose Hospital | Colorado Springs, CO | $358.56 | $896.40 | $393.64 | 0.9× |
| St. Anthony North Health Campus | Westminster, CO | $358.56 | $896.40 | $393.64 | 0.9× |
| OrthoColorado Hospital | Lakewood, CO | $358.56 | $896.40 | $393.64 | 0.9× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $358.56 | $896.40 | $393.64 | 0.9× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $588.30 | $1,961 | $393.64 | 1.5× |
| Longs Peak Hospital | Longmont, CO | $686.35 | $1,961 | $398.01 | 1.7× |
| UCHealth Broomfield Hospital | Broomfield, CO | $686.35 | $1,961 | $393.64 | 1.7× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $686.35 | $1,961 | $393.64 | 1.7× |
| St. John's Medical Center | Jackson, WY | $767 | $767 | $381.24 | 2.0× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $784.65 | $1,307.75 | $374.86 | 2.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $848.70 | $943 | $393.64 | 2.2× |
| National Jewish Health | Denver, CO | $980.70 | $1,401 | $393.64 | 2.5× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,010.25 | $2,245 | $393.64 | 2.6× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $1,021 | $2,042 | $374.86 | 2.7× |
| UCHealth Greeley Hospital | Greeley, CO | $1,092 | $1,820 | $393.64 | 2.8× |
| Sublette County Health | Pinedale, WY | $1,251.45 | $1,390.50 | $381.24 | 3.3× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $1,274 | $1,820 | $381.24 | 3.3× |
| Poudre Valley Hospital | Fort Collins, CO | $1,274 | $1,820 | $393.64 | 3.2× |
| Medical Center of the Rockies | Loveland, CO | $1,274 | $1,820 | $393.64 | 3.2× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,306.20 | $3,732 | $393.64 | 3.3× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,330.72 | $2,217.87 | $374.86 | 3.5× |
| Aspen Valley Hospital | Aspen, CO | $1,360 | $1,360 | $393.64 | 3.5× |
| Valley View Hospital | Glenwood Springs, CO | $3,058.30 | $3,598 | $393.64 | 7.8× |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $1,591.80 | $393.64 | — |
"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.