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Procedure price report · Other gastrointestinal diagnostic procedures

Esophagus balloon stretch test for symptoms

CPT 91040the billing code this page is about

A balloon is inflated inside the esophagus in stages to see whether the stretching reproduces pain or other symptoms; includes interpretation and report.

Hospitals typically charge $1,039 cash for this outpatient procedure — the median across 694 hospitals that filed a usable cash price; the average of the middle 60% is $992. Most fall between $423 and $1,750 (20th–80th percentile).

Hospitals
694
States
45
Filings dated
Nov 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 694 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$193$495$1,039$1,633$2,292

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($193 vs $2,292).

How the prices are spread

$96 – $137: 18 hospitals$96$137 – $197: 19 hospitals$197 – $283: 23 hospitals$197$283 – $405: 37 hospitals$405 – $581: 72 hospitals$405$581 – $832: 121 hospitals$832 – $1,193: 95 hospitals$832$1,193 – $1,710: 126 hospitals$1,710 – $2,452: 86 hospitals$1,710$2,452 – $3,515: 30 hospitals$2,452median $1,039price bands are equal on a log scale
Hospitals per price band (627 of 694 — the bands cover the 5th to 95th percentile)
FromToHospitals
$96$13718
$137$19719
$197$28323
$283$40537
$405$58172
$581$832121
$832$1,19395
$1,193$1,710126
$1,710$2,45286
$2,452$3,51530

Against Medicare

Medicare pays (OPPS 2026, national rate)$381
Median cash price$1,039
Cash as a multiple of Medicare2.7×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,039.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $681 across 12 hospitalsMN$681Illinois: median $780 across 38 hospitalsIL$780Wisconsin: median $1,435 across 30 hospitalsWI$1,435Michigan: median $513 across 10 hospitalsMI$513New York: median $628 across 23 hospitalsNY$628Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $193 across 19 hospitalsIA$193Indiana: median $656 across 25 hospitalsIN$656Ohio: median $623 across 28 hospitalsOH$623Pennsylvania: median $622 across 15 hospitalsPA$622New Jersey: median $587 across 36 hospitalsNJ$587Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,236 across 65 hospitalsCA$1,236Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $686 across 20 hospitalsCO$686Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $847 across 16 hospitalsMO$847Kentucky: median $555 across 19 hospitalsKY$555West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,966 across 15 hospitalsAZ$1,966New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $638 across 13 hospitalsTN$638North Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $1,880 across 19 hospitalsSC$1,880Oklahoma: median $97 across 13 hospitalsOK$97Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $614 across 37 hospitalsGA$614Hawaii: no hospital in the corpus filed a usable priceHITexas: median $1,176 across 68 hospitalsTX$1,176Florida: median $1,408 across 53 hospitalsFL$1,408
Cash price by state, most expensive first. National median $1,039. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ15$1,966+89%$322 – $1,966
South Carolina SC19$1,880+81%$321 – $1,880
Wisconsin WI30$1,435+38%$1,132 – $1,633
Florida FL53$1,408+35%$1,072 – $2,218
California CA65$1,236+19%$984 – $1,333
Texas TX68$1,176+13%$774 – $1,634
Missouri MO16$847−18%$746 – $2,230
Illinois IL38$780−25%$196 – $2,511
Colorado CO20$686−34%$359 – $1,092
Minnesota MN12$681−35%$681 – $1,340
Indiana IN25$656−37%$370 – $5,703
Tennessee TN13$638−39%$405 – $1,630
New York NY23$628−40%$466 – $1,205
Ohio OH28$623−40%$519 – $2,630
Pennsylvania PA15$622−40%$294 – $1,106
Georgia GA37$614−41%$349 – $1,178
New Jersey NJ36$587−43%$444 – $1,959
Kentucky KY19$555−47%$147 – $2,131
Michigan MI10$513−51%$91 – $1,633
Iowa IA19$193−81%$193 – $1,470
Oklahoma OK13$97−91%$97 – $1,077
Louisiana LA9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
North Carolina NC9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oregon OR1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,039.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care597$1,039$436 – $1,870
Children’s23$637$159 – $2,218
Critical access71$1,132$373 – $1,633
Ownership
For-profit98$774$349 – $1,966
Government79$780$429 – $1,690
Non-profit514$1,040$441 – $1,734
System affiliation
Part of a system623$1,040$429 – $1,750
Independent71$820$420 – $1,438

Cash price vs list price

Median list price (chargemaster)$1,787
Median cash price$1,039
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

498 hospitals filed a usable inpatient cash price for this code. The median is $1,040 and the average of the middle 60% is $1,033; most fall between $458 and $1,664.

Cash price percentiles, inpatient, across 498 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$193$541$1,040$1,633$2,041

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($193 vs $2,041).

Of the 523 hospitals that filed this code inpatient, 498 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

694 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 741 hospitals that filed this code at all gave us
Usable cash price — counted694
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code741

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other gastrointestinal diagnostic procedures family.

Hospitals file this code under descriptions such as Esophgl Balo Distension Dx Std W/Provocation.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Esophagus balloon stretch test for symptoms (CPT 91040) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-91040-esophagus-balloon-stretch-test-for-symptoms