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Capsule 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.

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CPT 91110: Gi Trc Img Intral Esoph-Ile

109 hospitals in 36 markets. National Medicare rate $927.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$2,912–$3,792
Austin TX2———$1,749–$3,476
Boston MA7$1,388$1,545$1,784$1,186–$2,219
California (statewide)1———$5,825–$5,825
Charlotte NC1———$842–$842
Chicago IL7$2,494$2,948$3,665$1,398–$4,195
Cleveland OH5$2,870$3,070$3,186$2,084–$3,393
Dallas-Fort Worth TX4———$2,595–$3,704
Denver CO7$2,022$4,108$4,268$1,422–$4,358
Detroit MI7$1,586$1,811$2,380$1,206–$3,241
Georgia (statewide)1———$3,425–$3,425
Houston TX1———$3,124–$3,124
Indianapolis IN3———$960–$1,109
Kansas (statewide)1———$799–$799
Las Vegas NV2———$757–$1,026
Los Angeles CA2———$6,218–$6,724
Miami-Fort Lauderdale FL4———$522–$2,436
Nashville TN4———$1,303–$2,048
New York (statewide)1———$2,253–$2,253
New York City2———$1,473–$6,612
Ohio (statewide)1———$1,910–$1,910
Pennsylvania (statewide)1———$2,484–$2,484
Philadelphia PA4———$1,784–$4,061
Phoenix AZ3———$2,421–$2,860
Pittsburgh PA1———$3,553–$3,553
Portland OR6$3,101$3,101$4,561$3,101–$5,048
Research Triangle NC2———$2,485–$3,911
Richmond VA2———$4,174–$4,174
San Antonio TX1———$1,377–$1,377
San Diego CA1———$818–$818
San Francisco Bay Area CA2———$962–$962
Seattle-Tacoma WA4———$2,658–$4,088
St. Louis MO7$2,296$4,054$6,690$1,349–$6,690
Tampa FL2———$2,923–$3,294
Washington DC5$2,857$3,136$4,260$2,411–$4,260
Wisconsin (statewide)1———$4,754–$4,754
HospitalMarketMedian across insurers× MedicareInsurersFile date
Boca Raton Regional HospitalMiami-Fort Lauderdale FL$5220.6×12026-03-30
Henderson HospitalLas Vegas NV$7570.8×12026-09-01
Menorah Medical CenterKansas (statewide)$7990.9×12026-09-01
Scripps Green HospitalSan Diego CA$8180.7×12026-03-30
Novant Health Matthews Medical CenterCharlotte NC$8421.0×12026-03-30
Doctors HospitalMiami-Fort Lauderdale FL$9181.0×22026-03-30
Hendricks Regional HealthIndianapolis IN$9601.0×12026-05-20
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$9620.8×22026-03-23
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$9620.8×22026-03-23
University Medical Center of Southern NevadaLas Vegas NV$1,0261.1×82026-07-01
Ascension St Vincent AndersonIndianapolis IN$1,1091.2×22026-01-01
Ascension St Vincent CarmelIndianapolis IN$1,1091.2×22026-01-01
New England Baptist HospitalBoston MA$1,1861.1×42026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$1,2061.3×22026-05-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$1,2441.3×42026-03-13
Ascension Saint Thomas RutherfordNashville TN$1,3031.5×22026-01-01
Vanderbilt University Medical CenterNashville TN$1,3101.5×62025-10-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,3111.5×22026-01-01
Anna Jaques HospitalBoston MA$1,3171.2×32026-04-01
Mercy Hospital SouthSt. Louis MO$1,3491.5×12026-06-10
Methodist HospitalSan Antonio TX$1,3771.5×52026-09-01
Henry Ford Health Rochester HospitalDetroit MI$1,3941.5×22026-01-01
Endeavor Health Northwest Community HospitalChicago IL$1,3981.4×22026-04-01
Adventhealth PorterDenver CO$1,4221.5×22026-04-01
Adventhealth ParkerDenver CO$1,4221.5×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,4601.3×12026-04-01
Montefiore Medical CenterNew York City$1,4731.3×92026-04-01
Winchester HospitalBoston MA$1,5451.4×32026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$1,7441.6×22026-04-01
Ascension Seton Medical Center AustinAustin TX$1,7491.9×22026-01-01
Mclaren Port HuronDetroit MI$1,7772.0×12025-12-31
Bryn Mawr HospitalPhiladelphia PA$1,7841.9×12026-04-01
Corewell Health William Beaumont University HospitDetroit MI$1,8112.0×22026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$1,8112.0×22026-05-01
Beth Israel Deaconess Medical CenterBoston MA$1,8251.7×12026-04-01
Bethesda NorthOhio (statewide)$1,9102.2×42026-04-01
TriStar StoneCrest Medical CenterNashville TN$2,0482.4×32026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$2,0842.4×12026-07-14
Riddle Memorial HospitalPhiladelphia PA$2,1112.3×12026-04-01
Mercy Hospital St LouisSt. Louis MO$2,1192.3×22026-06-04
Endeavor Health Edward HospitalChicago IL$2,1792.2×22026-04-01
Beverly Hospital CorporationBoston MA$2,2192.0×32026-04-01
Stony Brook University HospitalNew York (statewide)$2,2532.0×12026-06-10
Medstar Georgetown University HospitalWashington DC$2,4112.3×12026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,4212.5×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,4212.5×32026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$2,4362.6×12026-06-15
Mercy Hospital JeffersonSt. Louis MO$2,4732.7×22026-06-10
Lehigh Valley HospitalPennsylvania (statewide)$2,4842.7×62026-07-01
UNC Rex HospitalResearch Triangle NC$2,4852.7×22026-04-01
Medical City PlanoDallas-Fort Worth TX$2,5952.9×42026-09-01
UCHealth University of Colorado HospitalDenver CO$2,6222.7×22025-11-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$2,6582.5×42026-04-01
Medical City MckinneyDallas-Fort Worth TX$2,7823.0×42026-09-01
Endeavor Health Evanston HospitalChicago IL$2,8102.9×22026-04-01
Inova Alexandria HospitalWashington DC$2,8573.0×32026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,8603.0×22026-04-01
Medina HospitalCleveland OH$2,8703.3×22026-06-15
Emory University HospitalAtlanta GA$2,9123.2×12026-04-01
Tampa General HospitalTampa FL$2,9233.1×12026-04-01
Endeavor Health Elmhurst HospitalChicago IL$2,9483.0×22026-04-01
Harper University HospitalDetroit MI$2,9483.3×32026-09-02
Cleveland Clinic Lutheran HospitalCleveland OH$3,0703.6×22026-06-15
Legacy Emanuel Medical CenterPortland OR$3,1013.1×32026-04-01
Legacy Good Samaritan Medical CenterPortland OR$3,1013.1×32026-04-01
Legacy Mount Hood Medical CenterPortland OR$3,1013.1×32026-04-01
Legacy Meridian Park Medical CenterPortland OR$3,1013.1×32026-04-01
Houston Methodist HospitalHouston TX$3,1243.4×22026-04-01
George Washington Univ HospitalWashington DC$3,1362.9×12026-09-01
Cleveland Clinic Hillcrest HospitalCleveland OH$3,1863.7×22026-06-15
Thomas Jefferson University HospitalPhiladelphia PA$3,1983.4×22026-09-15
Corewell Health Dearborn HospitalDetroit MI$3,2413.6×12026-05-01
Swedish Medical CenterSeattle-Tacoma WA$3,2713.1×42026-04-01
Morton Plant HospitalTampa FL$3,2943.5×22026-01-01
Cleveland Clinic (main campus)Cleveland OH$3,3934.0×22026-06-16
Emory Houston Hospital Warner RobinsGeorgia (statewide)$3,4254.3×12026-04-01
Rush University Medical CenterChicago IL$3,4423.5×22026-09-25
St David's Medical CenterAustin TX$3,4763.8×42026-09-01
Upmc Presbyterian ShadysidePittsburgh PA$3,5534.0×12026-03-06
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$3,6154.0×22026-04-21
Baylor University Medical CenterDallas-Fort Worth TX$3,7044.1×22026-06-29
Piedmont Atlanta HospitalAtlanta GA$3,7924.2×12026-07-01
Piedmont Fayette HospitalAtlanta GA$3,7924.2×12026-07-01
Piedmont Newnan HospitalAtlanta GA$3,7924.2×12026-07-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$3,8223.6×52026-08-27
Loyola University Medical CenterChicago IL$3,8884.0×22026-03-31
UNC Hospitals (Chapel Hill)Research Triangle NC$3,9114.3×42026-04-01
Barnes Jewish HospitalSt. Louis MO$4,0544.5×22025-12-15
Jefferson Stratford HospitalPhiladelphia PA$4,0614.0×22026-09-15
Multicare Good Samaritan HospitalSeattle-Tacoma WA$4,0883.9×42026-08-27
HCA HealthONE SwedishDenver CO$4,1084.3×12026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$4,1744.7×22026-09-01
Henrico Doctors' HospitalRichmond VA$4,1744.7×22026-09-01
HCA HealthONE Sky RidgeDenver CO$4,1794.4×12026-09-01
University of Chicago Medical CenterChicago IL$4,1954.3×22026-04-01
Reston Hospital CenterWashington DC$4,2604.5×22026-09-01
Stonesprings Hospital CenterWashington DC$4,2604.5×22026-09-01
Hca Healthone RoseDenver CO$4,3584.5×12026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,3584.5×12026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7545.3×32026-01-01
Providence St Vincent Medical CenterPortland OR$5,0485.0×22026-04-01
Providence Portland Medical CenterPortland OR$5,0485.0×22026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$5,8255.0×12026-09-01
Keck Hospital Of UscLos Angeles CA$6,2185.3×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$6,6125.8×62026-01-01
Missouri Baptist Medical CenterSt. Louis MO$6,6907.4×32025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$6,6907.4×32025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$6,6907.4×32025-12-15
Cedars-Sinai Medical CenterLos Angeles CA$6,7245.8×12025-11-26

Questions

How much do commercial insurers pay hospitals for capsule endoscopy?

Across 109 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 91110, hospital outpatient is $2,810, 2.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,545 to $3,792. 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: Boca Raton Regional Hospital ($522), Henderson Hospital ($757), Menorah Medical Center ($799). Highest: Cedars-Sinai Medical Center ($6,724), Barnes-Jewish St Peters Hospital ($6,690), Barnes-Jewish West County Hospital ($6,690). Coverage is limited to the markets listed on this page.