How Much Does Gastroesophageal Reflux Test Cost?
Also known as: Gastroesophageal reflux test (CPT 91034)
Gastroesophageal Reflux Test (CPT 91034) costs $202 at Medicare rates.
Procedures Commonly Done Together
These procedures are frequently performed alongside Gastroesophageal reflux test
How to Reduce Your Cost for Gastroesophageal reflux test
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (6.06) x CF ($33.40) = $202
Related Procedures
Similar procedures in the same category or body system
People Also Ask
Common questions people search for about this procedure
Is pH test for diagnosis Lpr reflux painful?
Remarkably, having the probe in place is not uncomfortable and doesn't cause any issues with swallowing or talking. The probe does not induce gagging even in patients with the worst gag reflexes. Once we have identified the presence of reflux, we can treat you.
Is esophageal pH monitoring painful?
What is the cost of pH manometry?
5,000 to Rs. 15,000. It depends on the type of procedure, the patient's condition, and the surgeon's experience.
What is a bad pH level in the esophagus?
The normal pH for the esophagus is close to 7.0. Esophageal pH monitoring looks for lower readings (such as below 4.0 ) over the course of 30 seconds, indicating higher acidity. High acidity in the esophagus means a surge of stomach acid.
Frequently Asked Questions
How much does Gastroesophageal reflux test cost?
The Medicare facility rate for Gastroesophageal reflux test is $202. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Gastroesophageal reflux test cost without insurance?
Without insurance, the cost of Gastroesophageal reflux test can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Gastroesophageal reflux test?
Most commercial health insurance plans and Medicare cover Gastroesophageal reflux test when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.