In wake of CMS' recently finalized physician fee schedule, which reduces overall physician pay 1.25% in 2024, reimbursement changes have remained a persistent issue for gastroenterologists.
Below are the average costs of 15 common gastroenterology procedures at hospital outpatient departments and ASCs — as determined by analytics company Definitive Healthcare — using data from CMS' physician fee schedule search tool.
Note: Procedure costs listed are the non-facility price, which is the price for procedures performed in office.
|
Code |
Procedure |
Payment amount |
|
91200 |
Liver elastography |
$30.13 |
|
91065 |
Breath hydrogen/methane test |
$72.69 |
|
91110 |
GI tract imaging, capsule endoscopy |
$717.10 |
|
91010 |
Esophagus motility study |
$217.09 |
|
91122 |
Anorectal manometry |
$271.12 |
|
91035 |
Gastroesophageal reflux test with electrode |
$446.63 |
|
91120 |
Rectal sensation test |
$491.16 |
|
91037 |
Esophageal function test with electrode |
$165.69 |
|
91038 |
Esophageal function test, >1 hour |
$395.55 |
|
91040 |
Esophageal balloon distention test |
$507.21 |
|
91034 |
Gastroesophageal reflux test |
$187.95 |
|
91299 |
Gastroenterology procedure (other) |
Contractor priced |
|
91112 |
GI wireless capsule measurement |
$1,580.56 |
|
91133 |
Electrogastrography w/ test |
$451.54 |
|
91111 |
GI tract imaging, esophageal endoscopy |
$859.21 |