What does code 91030 cost?

We have parsed hospital-published rows for 91030, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

91030 is the billing code hospitals use to identify "Acid perfusion of esophagus" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

91030

HCPCS

Acid perfusion of esophagus

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 91030 (Acid perfusion of esophagus) appears at 11 hospitals. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 91030 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

12 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Acid perfusion of esophagus Outpatient	Endeavor Health Edward Hospital	91030 HCPCS	—	—	$302 – $644	—
Acid perfusion of esophagus Outpatient	University of Chicago Medical Center	91030 HCPCS	—	—	—	—
ACID PERFUSION OF ESOPHAGUS Outpatient	UCLA Resnick Neuropsychiatric Hospital	91030 HCPCS	—	—	$208 – $391	—
ACID PERFUSION OF ESOPHAGUS Outpatient	UCLA West Valley Medical Center	91030 HCPCS	—	—	$40.46 – $1,618	—
ACID PERFUSION OF ESOPHAGUS Outpatient	CHRISTUS Louisiana Surgical Hospital	91030 CPT	—	—	$341 – $1,398	—
ACID PERFUSION OF ESOPHAGUS Outpatient	CHRISTUS St. Vincent Regional Medical Center	91030 CPT	—	—	$329 – $1,729	—
0-ACID PERFUSION OF ESOPHAGUS Outpatient	Jefferson Abington Hospital	91030 CPT	—	—	$17.22 – $8,451	—
0-ACID PERFUSION OF ESOPHAGUS Outpatient	Jefferson Bucks Hospital	91030 CPT	—	—	$18.20 – $8,247	—
0--ACID PERFUSION OF ESOPHAGUS Outpatient	Jefferson Cherry Hill Hospital	91030 CPT	—	—	$18.20 – $6,648	—
0-ACID PERFUSION OF ESOPHAGUS Outpatient	Jefferson Cherry Hill Hospital	91030 CPT	—	—	$18.20 – $6,648	—
0-ACID PERFUSION OF ESOPHAGUS Outpatient	Jefferson Frankford Hospital	91030 CPT	—	—	$18.20 – $8,247	—
0-ACID PERFUSION OF ESOPHAGUS Outpatient	Jefferson Lansdale Hospital	91030 CPT	—	—	$17.22 – $8,451	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 91030 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center UCLA Resnick Neuropsychiatric Hospital UCLA West Valley Medical Center CHRISTUS Louisiana Surgical Hospital CHRISTUS St. Vincent Regional Medical Center Jefferson Abington Hospital Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital

Code 91030: frequently asked

What does code 91030 cost?: We have parsed hospital-published rows for 91030, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 91030?: 91030 is the billing code hospitals use to identify "Acid perfusion of esophagus" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code 91030 by state

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