91010

Study of esophagus to assess movement

Medicare pricing data for 2,662 providers across 49 states

🤖AI Overview

Prices vary significantly by location — from $57 in Vermont to $200 in Wyoming. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Study of esophagus to assess movement (HCPCS code 91010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $93.21, but hospitals typically charge $409.91 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $93.21, your out-of-pocket cost would be approximately $18.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$93.21
Average Hospital Charge
$409.91
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$409.91
Medicare Allowed$93.21
Medicare Payment$71.90

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $71.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Wyoming$200$1,585430+114.1%
Minnesota$152$71541384+62.8%
Colorado$142$38044409+52.1%
Oregon$141$49338462+51.1%
New York$140$5951151,159+50.2%
Maryland$126$47639531+34.8%
Louisiana$118$37966346+26.5%
Washington$116$38869752+24.7%
Florida$112$4741701,477+19.9%
California$100$4531912,179+7.6%
Kentucky$99$29038201+6.0%
Texas$98$4052431,986+4.9%
Oklahoma$97$27931232+4.3%
Alaska$95$550934+1.7%
Nebraska$95$39321238+1.6%
Pennsylvania$94$4241251,213+0.8%
Nevada$93$35022133-0.0%
New Jersey$90$53664339-3.6%
Arkansas$89$26128185-4.4%
Ohio$87$373123988-6.3%
Wisconsin$86$82471426-7.7%
Mississippi$83$34548343-11.3%
Kansas$81$40241266-12.6%
Massachusetts$80$32048836-13.7%
Tennessee$80$30637347-14.7%
Georgia$79$38390709-15.3%
Virginia$79$37777620-15.8%
North Carolina$75$40792780-19.9%
Indiana$74$29281532-20.4%
South Carolina$73$39159536-21.6%
Illinois$73$43792933-21.7%
Iowa$72$24836239-22.5%
Connecticut$71$42926242-23.5%
District of Columbia$71$178476-24.3%
Arizona$70$32033585-24.9%
Alabama$68$22836329-27.5%
New Hampshire$64$32411309-31.2%
Montana$64$37512157-31.5%
Delaware$63$256573-32.6%
Rhode Island$63$258573-32.7%
Missouri$62$30662758-33.4%
Michigan$62$36693499-33.4%
New Mexico$61$248794-34.1%
Utah$61$18926184-34.3%
South Dakota$61$2411395-34.5%
West Virginia$61$18817187-34.6%
Idaho$60$21824125-35.4%
Hawaii$60$161433-35.5%
Vermont$57$323249-39.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber