Price AtlasInteractive atlas · All states · techysurgeon.comCapsule endoscopy: what insurers pay
Swallowing a camera pill to photograph the small bowel. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 91110: Capsule Endoscopy
1180 hospitals in 81 markets. National Medicare rate $927.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 20 | $922 | $1,326 | $1,750 | $839–$3,146 |
| Alaska (statewide) | 2 | — | — | — | $1,007–$6,187 |
| Arizona (statewide) | 12 | $1,504 | $1,649 | $2,465 | $603–$6,508 |
| Arkansas (statewide) | 8 | $859 | $1,069 | $1,362 | $852–$1,590 |
| Atlanta GA | 10 | $2,912 | $3,792 | $3,792 | $2,912–$4,022 |
| Austin TX | 13 | $932 | $2,456 | $3,268 | $909–$3,268 |
| Boston MA | 15 | $1,002 | $1,688 | $1,820 | $762–$2,391 |
| California (statewide) | 61 | $1,269 | $2,766 | $3,547 | $757–$7,455 |
| Charlotte NC | 8 | $842 | $1,107 | $1,115 | $842–$1,115 |
| Chicago IL | 10 | $2,844 | $3,532 | $3,779 | $1,398–$4,195 |
| Cleveland OH | 11 | $1,387 | $1,540 | $2,210 | $973–$3,044 |
| Colorado (statewide) | 15 | $1,834 | $2,244 | $2,731 | $942–$4,724 |
| Columbus OH | 1 | — | — | — | $3,262–$3,262 |
| Connecticut (statewide) | 3 | — | — | — | $782–$3,779 |
| Dallas-Fort Worth TX | 15 | $2,246 | $2,356 | $2,484 | $1,528–$5,203 |
| Delaware (statewide) | 1 | — | — | — | $2,736–$2,736 |
| Denver CO | 15 | $2,060 | $2,770 | $4,033 | $1,761–$4,813 |
| Detroit MI | 14 | $822 | $910 | $1,617 | $645–$2,948 |
| Florida (statewide) | 64 | $2,292 | $3,294 | $3,813 | $896–$5,162 |
| Georgia (statewide) | 36 | $2,749 | $3,587 | $3,854 | $828–$5,479 |
| Hawaii (statewide) | 3 | — | — | — | $943–$4,032 |
| Houston TX | 15 | $2,030 | $2,230 | $2,756 | $1,731–$3,644 |
| Idaho (statewide) | 11 | $1,679 | $2,102 | $2,419 | $826–$2,678 |
| Illinois (statewide) | 32 | $1,344 | $2,270 | $2,625 | $488–$3,775 |
| Indiana (statewide) | 28 | $896 | $1,326 | $2,058 | $628–$3,552 |
| Indianapolis IN | 4 | — | — | — | $896–$960 |
| Iowa (statewide) | 19 | $1,518 | $1,759 | $2,106 | $826–$2,632 |
| Kansas (statewide) | 14 | $1,084 | $1,348 | $2,573 | $799–$4,721 |
| Kentucky (statewide) | 19 | $1,289 | $1,518 | $4,284 | $814–$5,301 |
| Las Vegas NV | 2 | — | — | — | $1,287–$1,516 |
| Los Angeles CA | 17 | $2,358 | $2,571 | $3,106 | $1,581–$6,724 |
| Louisiana (statewide) | 19 | $1,361 | $1,708 | $1,944 | $786–$4,147 |
| Maine (statewide) | 17 | $3,842 | $4,313 | $4,460 | $895–$5,608 |
| Massachusetts (statewide) | 11 | $1,275 | $1,454 | $1,689 | $1,128–$2,978 |
| Miami-Fort Lauderdale FL | 8 | $1,020 | $1,032 | $1,220 | $522–$1,485 |
| Michigan (statewide) | 21 | $1,370 | $1,536 | $2,088 | $507–$5,018 |
| Minneapolis-St. Paul MN | 7 | $2,074 | $2,480 | $2,571 | $1,723–$2,600 |
| Minnesota (statewide) | 11 | $2,454 | $2,480 | $2,871 | $2,091–$3,351 |
| Mississippi (statewide) | 13 | $1,173 | $1,474 | $1,616 | $904–$2,474 |
| Missouri (statewide) | 25 | $787 | $1,641 | $2,041 | $535–$4,587 |
| Montana (statewide) | 6 | $2,306 | $2,644 | $2,787 | $1,467–$3,788 |
| Nashville TN | 8 | $1,609 | $1,891 | $2,048 | $1,257–$2,048 |
| Nebraska (statewide) | 12 | $1,472 | $1,534 | $2,185 | $576–$2,632 |
| Nevada (statewide) | 3 | — | — | — | $757–$1,287 |
| New Hampshire (statewide) | 4 | — | — | — | $961–$4,062 |
| New Jersey (statewide) | 22 | $1,273 | $3,017 | $5,781 | $1,024–$7,146 |
| New Mexico (statewide) | 5 | $1,582 | $2,118 | $2,956 | $1,285–$3,268 |
| New York (statewide) | 42 | $1,314 | $1,700 | $2,406 | $669–$3,222 |
| New York City | 8 | $2,344 | $2,626 | $2,780 | $1,466–$6,612 |
| North Carolina (statewide) | 12 | $842 | $884 | $2,286 | $842–$2,748 |
| North Dakota (statewide) | 5 | $1,601 | $1,714 | $2,071 | $729–$4,751 |
| Ohio (statewide) | 36 | $1,933 | $2,381 | $3,098 | $901–$4,313 |
| Oklahoma (statewide) | 15 | $1,365 | $1,784 | $1,973 | $927–$3,317 |
| Oregon (statewide) | 9 | $2,401 | $2,600 | $3,274 | $2,037–$4,186 |
| Pennsylvania (statewide) | 35 | $1,538 | $2,398 | $2,852 | $905–$4,245 |
| Philadelphia PA | 10 | $1,796 | $1,910 | $2,848 | $1,736–$4,061 |
| Phoenix AZ | 10 | $1,747 | $2,421 | $2,421 | $1,504–$2,860 |
| Pittsburgh PA | 11 | $956 | $1,560 | $1,830 | $946–$2,681 |
| Portland OR | 9 | $3,500 | $3,500 | $3,763 | $3,101–$3,763 |
| Research Triangle NC | 3 | — | — | — | $1,462–$3,911 |
| Rhode Island (statewide) | 4 | — | — | — | $1,306–$3,602 |
| Richmond VA | 3 | — | — | — | $4,174–$4,174 |
| Rio Grande Valley TX | 3 | — | — | — | $2,453–$2,842 |
| Salt Lake City UT | 9 | $1,600 | $1,652 | $1,652 | $825–$1,652 |
| San Antonio TX | 3 | — | — | — | $1,497–$2,800 |
| San Diego CA | 6 | $1,983 | $1,983 | $2,002 | $1,983–$2,151 |
| San Francisco Bay Area CA | 5 | $1,281 | $3,197 | $4,300 | $1,281–$6,397 |
| Seattle-Tacoma WA | 11 | $2,697 | $3,203 | $3,407 | $2,385–$3,760 |
| South Carolina (statewide) | 25 | $2,136 | $3,058 | $3,791 | $1,258–$4,448 |
| South Dakota (statewide) | 4 | — | — | — | $1,127–$6,230 |
| St. Louis MO | 9 | $1,711 | $4,587 | $4,587 | $1,576–$5,296 |
| Tampa FL | 6 | $3,294 | $3,294 | $3,294 | $2,362–$4,360 |
| Tennessee (statewide) | 29 | $864 | $1,239 | $2,048 | $745–$2,617 |
| Texas (statewide) | 77 | $1,731 | $2,410 | $2,923 | $762–$5,392 |
| Utah (statewide) | 7 | $825 | $1,170 | $1,498 | $775–$1,652 |
| Vermont (statewide) | 1 | — | — | — | $1,008–$1,008 |
| Virginia (statewide) | 19 | $3,108 | $3,992 | $4,222 | $885–$5,393 |
| Washington (statewide) | 11 | $2,444 | $2,661 | $2,958 | $1,056–$4,737 |
| Washington DC | 10 | $2,684 | $2,703 | $3,439 | $950–$4,260 |
| West Virginia (statewide) | 11 | $1,292 | $1,528 | $2,954 | $813–$6,038 |
| Wisconsin (statewide) | 32 | $3,006 | $3,006 | $3,956 | $2,093–$5,261 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Community First Medical Center | Illinois (statewide) | $488 | 0.5× | 7 | 2026-04-01 |
| Oaklawn Hospital | Michigan (statewide) | $507 | 0.6× | 2 | 2026-03-27 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $522 | 0.6× | 1 | 2026-03-30 |
| Research Medical Center | Missouri (statewide) | $535 | 0.6× | 3 | 2026-09-01 |
| Centerpoint Medical Center | Missouri (statewide) | $535 | 0.6× | 3 | 2026-09-01 |
| Lee'S Summit Medical Center | Missouri (statewide) | $535 | 0.6× | 3 | 2026-09-01 |
| Belton Regional Medical Center | Missouri (statewide) | $535 | 0.6× | 3 | 2026-09-01 |
| Lafayette Regional Health Center | Missouri (statewide) | $535 | 0.6× | 3 | 2026-09-01 |
| The Nebraska Medical Center | Nebraska (statewide) | $576 | 0.6× | 3 | 2026-08-10 |
| Bellevue Medical Center | Nebraska (statewide) | $576 | 0.6× | 3 | 2026-08-10 |
| Yuma Regional Medical Center | Arizona (statewide) | $603 | 0.6× | 2 | 2025-09-30 |
| Phoenix Children'S Hospital | Arizona (statewide) | $616 | 0.6× | 5 | 2026-01-01 |
| Rady Children'S Hospital - San Diego | California (statewide) | $6,187 | 5.3× | 3 | 2026-04-01 |
| Riverview Medical Center | New Jersey (statewide) | $6,195 | 6.1× | 3 | 2025-12-31 |
| Monument Health Rapid City Hospital | South Dakota (statewide) | $6,230 | 6.7× | 1 | 2026-09-01 |
| Jersey Shore University Medical Center | New Jersey (statewide) | $6,345 | 6.2× | 1 | 2025-12-31 |
| Stanford Health Care Tri-Valley | San Francisco Bay Area CA | $6,397 | 5.0× | 2 | 2026-04-01 |
| Benson Hospital | Arizona (statewide) | $6,508 | 6.7× | 1 | 2026-05-13 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $6,612 | 5.8× | 7 | 2026-01-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $6,724 | 5.8× | 1 | 2025-11-26 |
| Hackensack University Medical Center | New Jersey (statewide) | $7,146 | 6.6× | 3 | 2025-12-31 |
| Providence Redwood Memorial Hospital | California (statewide) | $7,276 | 6.2× | 2 | 2026-04-01 |
| Providence St Joseph Hospital | California (statewide) | $7,327 | 6.3× | 3 | 2026-04-01 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $7,455 | 6.4× | 3 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for capsule endoscopy?
Across 1180 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 91110, hospital outpatient is $2,239, 2.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,421 to $3,135. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for capsule endoscopy?
Medicare's national hospital outpatient rate for CPT 91110 is $927, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for capsule endoscopy?
Lowest medians: Community First Medical Center ($488), Oaklawn Hospital ($507), Boca Raton Regional Hospital ($522). Highest: Providence Queen Of The Valley Medical Center ($7,455), Providence St Joseph Hospital ($7,327), Providence Redwood Memorial Hospital ($7,276). Coverage: every hospital whose price file we could read.