Price Checker / CPT 91013
CPT 91013 — Esophgl motil w/stim/perfus
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$28
What Medicare pays in a hospital/ASC setting
$28
What Medicare pays in a physician's office
$3,474
Based on 59 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 91013
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "Children's Hospital of Michigan" , MI | — | — | 28572% |
| Advocate Childrens Hospital - Oak Lawn , IL | — | — | 22059% |
| Advocate Childrens Hospital - Park Ridge , IL | — | — | 22059% |
| Advocate Christ Medical Center , IL | — | — | 22059% |
| Advocate Good Samaritan Hospital , IL | — | — | 22059% |
| Advocate Good Shepherd Hospital , IL | — | — | 22059% |
| Advocate Illinois Masonic Medical Center , IL | — | — | 22059% |
| Advocate Lutheran General Hospital , IL | — | — | 22059% |
| Advocate South Suburban Hospital , IL | — | — | 22059% |
| Advocate Trinity Hospital , IL | — | — | 22059% |
| "St. Francis Hospital & Heart Center®" , NY | — | — | 18893% |
| Atrium Health Navicent Baldwin , GA | — | — | 18456% |
| St. Charles Hospital , NY | — | — | 16924% |
| Mercy Hospital , NY | — | — | 16268% |
| St. Catherine of Siena Hospital , NY | — | — | 16268% |
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About CPT 91013
CPT code 91013 refers to “Esophgl motil w/stim/perfus”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $28 in a facility (hospital or ambulatory surgery center) and $28in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.