CPT 91038 Gastroenterology
Esoph imped funct test > 1hr Cost
Body System: Digestive
Medicare Facility Rate
$446
CMS PFS CY2026
Medicare Non-Facility Rate
$446
Office/clinic setting
Hospital Outpatient
$381
OPPS rate
Surgery Center (ASC)
$205
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.10
Work RVU
12.17
Facility PE RVU
0.08
Malpractice RVU
13.35
Total RVU
Frequently Asked Questions
How much does Esoph imped funct test > 1hr cost?
The Medicare facility rate is $446. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $381. Ambulatory surgery center rate: $205.
How much does Esoph imped funct test > 1hr 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 $446.