CPT 91035 Gastroenterology
G-esoph reflx tst w/electrod Cost
Body System: Digestive
Medicare Facility Rate
$502
CMS PFS CY2026
Medicare Non-Facility Rate
$502
Office/clinic setting
Hospital Outpatient
$877
OPPS rate
Surgery Center (ASC)
$419
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.55
Work RVU
13.34
Facility PE RVU
0.15
Malpractice RVU
15.04
Total RVU
Frequently Asked Questions
How much does G-esoph reflx tst w/electrod cost?
The Medicare facility rate is $502. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $877. Ambulatory surgery center rate: $419.
How much does G-esoph reflx tst w/electrod cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $502.