Electrogastrography, diagnostic, transcutaneous; with provocative testing Non-Facility (CPT 91133)
91133 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.
127 of 4255 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 | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Concord Hospital | Concord, NH | $41.40 | $138 | $142.06 | 0.3× |
| Concord Hospital – Laconia | Laconia, NH | $41.40 | $138 | $142.06 | 0.3× |
| Concord Hospital – Franklin | Franklin, NH | $41.40 | $138 | $142.06 | 0.3× |
| Sidney Health Center | Sidney, MT | $42.73 | $69 | $135.93 | 0.3× |
| Vanderbilt Bedford Hospital range across 3 matching MRF lines |
Shelbyville, TN | $46.40–$662.94 | $160–$2,286 | $127.05 | varies |
| Vanderbilt Tullahoma-Harton Hospital range across 3 matching MRF lines |
Tullahoma, TN | $46.40–$662.94 | $160–$2,286 | $126.31 | varies |
| Vanderbilt Wilson County Hospital range across 3 matching MRF lines |
Lebanon, TN | $46.40–$662.94 | $160–$2,286 | $127.64 | varies |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $120.12 | 0.5× |
| John H Stroger Jr Hospital | Chicago, IL | $62.30 | $89 | $142.58 | 0.4× |
| Provident Hospital of Chicago | Chicago, IL | $62.30 | $89 | $142.58 | 0.4× |
| Titus Regional Medical Center range across 3 matching MRF lines |
Mount Pleasant, TX | $68.40–$588 | $114–$980 | $133.65 | varies |
| DeSoto Regional Health System | Mansfield, LA | $73.50 | $105 | $120.47 | 0.6× |
| Vanderbilt University Hospital range across 3 matching MRF lines |
Nashville, TN | $86.40–$1,234.44 | $160–$2,286 | $130.60 | varies |
| Mt Sinai Hospital Medical Center | Chicago, IL | $92.21 | $131.73 | $142.58 | 0.6× |
| Holy Cross Hospital | Chicago, IL | $92.21 | $131.73 | $142.58 | 0.6× |
| University Hospital – UMMC | Jackson, MS | $100 | $250 | $120.12 | 0.8× |
| UMMC Madison | Canton, MS | $100 | $250 | $120.12 | 0.8× |
| UNM Hospital range across 2 matching MRF lines |
Albuquerque, NM | $107.07–$114.43 | $194.67–$208.06 | $131.71 | varies |
| Waverly Health Center | Waverly, IA | $118.56 | $228 | $127.90 | 0.9× |
| East Carroll Parish Hospital | Lake Providence, LA | $126 | $168 | $121.14 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $129.39 | — | $138.94 | 0.9× |
| St. Joseph's Medical Center | Yonkers, NY | $135.93 | — | $166.08 | 0.8× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $141.54 | — | $120.83 | 1.2× |
| Lima Memorial Health System | Lima, OH | $142.20 | $158 | $127.04 | 1.1× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $152.54 | $383.34 | $166.08 | 0.9× |
| Jacobi Medical Center | Bronx, NY | $152.54 | $1,574.40 | $166.08 | 0.9× |
| Elmhurst Hospital Center | Elmhurst, NY | $152.54 | $383.34 | $166.08 | 0.9× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $152.54 | $383.34 | $166.08 | 0.9× |
| Metropolitan Hospital Center | New York, NY | $152.54 | $383.34 | $166.08 | 0.9× |
| Kings County Hospital Center | Brooklyn, NY | $152.54 | $1,574.40 | $166.08 | 0.9× |
| Bellevue Hospital Center | New York, NY | $152.54 | $1,574.40 | $166.08 | 0.9× |
| Queens Hospital Center | Jamaica, NY | $152.54 | $1,574.40 | $166.08 | 0.9× |
| Harlem Hospital Center | New York, NY | $152.54 | $383.34 | $166.08 | 0.9× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $152.54 | $1,574.40 | $166.08 | 0.9× |
| Griffin Hospital | Derby, CT | $154.10 | — | $159.50 | 1.0× |
| Mercyhealth Fhn Hospital | Freeport, IL | $157.60 | $197 | $142.58 | 1.1× |
| Highland Hospital | Rochester, NY | $157.93 | — | $166.08 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $157.93 | — | $166.08 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $163.27 | — | $141.97 | 1.2× |
| Nyack Hospital | Nyack, NY | $166.08 | — | $166.08 | 1.0× |
| Montefiore St. Luke's Cornwall | Newburgh, NY | $166.08 | — | $166.08 | 1.0× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $166.35 | — | $127.64 | 1.3× |
| Bayside Community Hospital | Anahuac, TX | $180 | $180 | $133.65 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $182.95 | — | $132.57 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $182.95 | — | $132.57 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $182.95 | — | $132.57 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $182.95 | — | $132.57 | 1.4× |
| Merit Health Wesley | Hattiesburg, MS | $188.58 | $898 | $118.16 | 1.6× |
| Dunes Surgical Hospital | Dakota Dunes, SD | $195.53 | — | $135.93 | 1.4× |
| Virginia Mason Medical Center | Seattle, WA | $216.24 | $424 | $154.50 | 1.4× |
| Washington Regional Medical Center | Fayetteville, AR | $221.25 | $295 | $125.43 | 1.8× |
| Elliot Hospital | Manchester, NH | $247.90 | $670 | $142.06 | 1.7× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $252.88 | $421.46 | $133.65 | 1.9× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $254 | $845 | $133.65 | 1.9× |
| Omega Hospital | Metairie, LA | $259.37 | $444.63 | $124.89 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $262.80 | — | $127.96 | 2.1× |
| Stanford Health Care | Stanford, CA | $282.80 | $707 | $195.70 | 1.4× |
| UofL Health – Jewish Hospital | Louisville, KY | $294.30 | $654 | $127.92 | 2.3× |
| Hilton Head Medical Center | Hilton Head Island, SC | $321.24 | — | $123.75 | 2.6× |
| East Cooper Medical Center | Mount Pleasant, SC | $321.24 | — | $123.75 | 2.6× |
| Coastal Carolina Medical Center | Hardeeville, SC | $321.24 | — | $123.75 | 2.6× |
| Nebraska Medical Center | Omaha, NE | $322.79 | $496.60 | $138.16 | 2.3× |
| Bellevue Medical Center | Bellevue, NE | $322.79 | $496.60 | $138.16 | 2.3× |
| Ann & Robert H Lurie Childrens Hospital of Chicago | Chicago, IL | $347.20 | $496 | $142.58 | 2.4× |
| El Camino Health | Mountain View, CA | $381.25 | $1,525 | $195.70 | 1.9× |
| Northwest Surgical Hospital | Oklahoma City, OK | $383.88 | — | $127.96 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $383.88 | — | $127.96 | 3.0× |
| Union Hospital | Dover, OH | $385.45 | $593 | $125.87 | 3.1× |
| Mercy Hospital | Canton, OH | $385.45 | $593 | $125.87 | 3.1× |
| Fairview Hospital | Cleveland, OH | $385.45 | $593 | $125.87 | 3.1× |
| Euclid Hospital | Euclid, OH | $385.45 | $593 | $125.87 | 3.1× |
| Lutheran Hospital | Cleveland, OH | $385.45 | $593 | $125.87 | 3.1× |
| Medina Hospital | Medina, OH | $385.45 | $593 | $125.87 | 3.1× |
| Marymount Hospital | Garfield Heights, OH | $385.45 | $593 | $125.87 | 3.1× |
| South Pointe Hospital | Warrensville Heights, OH | $385.45 | $593 | $125.87 | 3.1× |
| Cleveland Clinic | Cleveland, OH | $385.45 | $593 | $125.87 | 3.1× |
| Hillcrest Hospital | Mayfield Heights, OH | $385.45 | $593 | $125.87 | 3.1× |
| Cleveland Clinic Avon Hospital | Avon, OH | $385.45 | $593 | $125.87 | 3.1× |
| Montefiore Medical Center range across 2 matching MRF lines |
Bronx, NY | $409.30 | $117.86–$625.84 | $166.08 | 2.5× |
| Erie County Medical Center | Buffalo, NY | $424.31 | — | $166.08 | 2.6× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $436.80 | $780 | $193.18 | 2.3× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $436.80 | $780 | $192.32 | 2.3× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $436.80 | $780 | $188.91 | 2.3× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $436.80 | $780 | $195.47 | 2.2× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $436.80 | $780 | $194.63 | 2.2× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $436.80 | $780 | $192.32 | 2.3× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $436.80 | $780 | $188.91 | 2.3× |
| Kaiser Foundation Hospital | San Rafael, CA | $436.80 | $780 | $188.71 | 2.3× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $436.80 | $780 | $192.32 | 2.3× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $436.80 | $780 | $193.18 | 2.3× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $436.80 | $780 | $195.70 | 2.2× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $436.80 | $780 | $188.91 | 2.3× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $436.80 | $780 | $182.96 | 2.4× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $436.80 | $780 | $171.12 | 2.6× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $436.80 | $780 | $186.44 | 2.3× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $436.80 | $780 | $187.87 | 2.3× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $436.80 | $780 | $195.47 | 2.2× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $436.80 | $780 | $172.67 | 2.5× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $436.80 | $780 | $192.34 | 2.3× |
| Children's Hospital Colorado | Aurora, CO | $442 | $680 | $140.35 | 3.1× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $442 | $680 | $140.35 | 3.1× |
| St. John's Medical Center | Jackson, WY | $488 | $488 | $135.93 | 3.6× |
| Community Hospital of Huntington Park | Huntington Park, CA | $531.30 | $531.30 | $171.12 | 3.1× |
| Memorial Hospital of Gardena | Gardena, CA | $531.30 | $531.30 | $171.12 | 3.1× |
| East Los Angeles Doctors Hospital | Los Angeles, CA | $531.30 | $531.30 | $171.12 | 3.1× |
| Coast Plaza Hospital | Norwalk, CA | $531.30 | $531.30 | $171.12 | 3.1× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $592.80 | $988 | $131.91 | 4.5× |
| West Chester Hospital | West Chester, OH | $592.80 | $988 | $129.66 | 4.6× |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids, IA | $619.20 | $1,032 | $128.65 | 4.8× |
| Cedar-sinai Marina Del Rey Hospital range across 5 matching MRF lines |
Marina Del Rey, CA | $655.63–$18,447.52 | $1,008.66–$28,380.80 | $171.12 | varies |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $760.50 | $845 | $140.35 | 5.4× |
| Beth Israel Deaconess Medical Center | Boston, MA | $779 | $779 | $159.45 | 4.9× |
| Methodist Hospital | San Antonio, TX | $1,639.99 | $1,639.99 | $133.65 | 12.3× |
| Huntington Hospital range across 4 matching MRF lines |
Pasadena, CA | $1,730.27–$15,116.08 | $2,661.95–$23,255.50 | $171.12 | varies |
| Texas Childrens Hospital | Houston, TX | $2,186.88 | $3,264 | $133.65 | 16.4× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $2,186.88 | $3,264 | $133.65 | 16.4× |
| Cedars-sinai Medical Center range across 4 matching MRF lines |
Los Angeles, CA | $3,964.84–$24,184.55 | $6,099.75–$37,207 | $171.12 | varies |
| Graham Hospital Association | Canton, IL | — | $497.52 | $142.58 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"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.