CPT 91110 Gastroenterology

How Much Does Gi Trc Img Intral Esoph-ile Cost?

Also known as: Gi trc img intral esoph-ile (CPT 91110)

Capsule endoscopy, swallowing a small camera pill to photograph the entire small intestine.

Gi Trc Img Intral Esoph-ile (CPT 91110) costs $802 at Medicare rates.

Medicare (Facility)
$802
CMS PFS 2026 national rate

Patient Guide: Gi Trc Img Intral Esoph-ile

What you need to know before your appointment

What to Expect

You swallow a vitamin-sized capsule containing a tiny camera. As it travels through your digestive tract, it takes thousands of pictures. You wear a sensor belt to record the images.

How Long Does It Take?

8 hours of recording; capsule passes naturally in 1-3 days

Common Reasons Doctors Order This

Unexplained GI bleeding, Crohn disease evaluation, small bowel tumor, celiac disease evaluation, iron deficiency anemia workup

How to Prepare

Clear liquid diet the day before. Fast overnight. Do not eat for 2 hours after swallowing the capsule. Avoid MRIs until the capsule passes.

Procedures Commonly Done Together

These procedures are frequently performed alongside Gi trc img intral esoph-ile

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How to Reduce Your Cost for Gi trc img intral esoph-ile

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.

2.18
Work RVU
21.75
Practice Expense RVU
0.09
Malpractice RVU
24.02
Total RVU

Payment = Total RVU (24.02) x CF ($33.40) = $802

Frequently Asked Questions

How much does Gi trc img intral esoph-ile cost?

The Medicare facility rate for Gi trc img intral esoph-ile is $802. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Gi trc img intral esoph-ile cost without insurance?

Without insurance, the cost of Gi trc img intral esoph-ile 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 Gi trc img intral esoph-ile?

Most commercial health insurance plans and Medicare cover Gi trc img intral esoph-ile 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.

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