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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in AL

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Hospitals
24
Min
$80.00
Median
$1,006.65
Max
$3,260.47
Range multiplier
40.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna727$75.00$1,458.71$11,584154.5×
Blue Cross Blue Shield517$941.10$1,452.90$8,100.008.6×
UnitedHealthcare613$57.00$950.51$3,651.2064.1×
Humana512$90.00$969.33$8,100.0090.0×
Cigna38$950.51$3,983.82$5,423.005.7×
Medicare26$941.10$977.33$1,006.651.1×
smarthealth36$1,317.54$1,317.54$1,368.261.0×
Ambetter36$1,552.82$1,583.27$1,788.091.2×
WellCare24$941.10$941.10$941.101.0×
Molina24$1,006.65$1,373.85$1,741.041.7×
occunet24$1,741.04$1,929.26$2,117.471.2×
Bright Health34$1,184.00$1,221.66$3,079.332.6×
Medicare Advantage24$941.10$950.51$959.921.0×
Oscar Health24$1,505.76$1,505.76$1,505.761.0×
careplus mcr replacement12$959.92$959.92$959.921.0×
aarp12$928.46$928.46$928.461.0×
actin care12$1,514.86$1,514.86$1,514.861.0×
avmed exchange12$1,693.98$1,693.98$1,693.981.0×
bc advantage mcr replacement12$941.10$941.10$941.101.0×
blue mcr replacement12$941.10$941.10$941.101.0×
90 degree benefits12$1,693.98$1,693.98$1,693.981.0×
employer direct healthcare12$1,646.92$1,646.92$1,646.921.0×
facility billing - op12$941.10$941.10$941.101.0×
health spring12$840.00$1,837.50$2,835.003.4×
healthspring mcr replacement12$950.51$955.22$959.921.0×
motivhealth12$5,049.00$5,049.00$5,049.001.0×
pace place12$941.10$941.10$941.101.0×
pehp12$2,627.00$2,767.50$2,908.001.1×
research study encore borland-groover12$941.10$941.10$941.101.0×
Self-Pay (Cash)12$977.33$977.33$977.331.0×
VA Health12$941.10$941.10$941.101.0×
viva health22$840.00$1,651.73$2,463.462.9×
blue advantage11$80.00$80.00$80.001.0×
Multiplan11$3,188.01$3,188.01$3,188.011.0×
novanet11$3,441.60$3,441.60$3,441.601.0×
community hospice11$941.10$941.10$941.101.0×
optum transplant [100275]11$2,808.62$2,808.62$2,808.621.0×
clover health11$882.00$882.00$882.001.0×
universal healthcare11$2,350.00$2,350.00$2,350.001.0×
pcpa11$3,260.47$3,260.47$3,260.471.0×
university of ut11$850.00$850.00$850.001.0×
behavioral hlth sys [100258]11$4,212.93$4,212.93$4,212.931.0×
viva [100269]11$3,183.10$3,183.10$3,183.101.0×
claritev [100309]11$4,119.31$4,119.31$4,119.311.0×
sterling life insurance11$2,350.00$2,350.00$2,350.001.0×
three rivers11$3,441.60$3,441.60$3,441.601.0×
healthscope11$3,441.60$3,441.60$3,441.601.0×
TRICARE11$564.00$564.00$564.001.0×
health choice11$3,260.47$3,260.47$3,260.471.0×
imagine health wise11$5,957.00$5,957.00$5,957.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Providence HospitalMobileAL12$941.10$969.33$11,584
St. Vincents EastBirminghamAL23$922.28$959.92$11,236
Washington County HospitalChatomAL5$54.17$57.00$80.00$3,052.74
The Childrens Hospital Of AlabamaBirminghamAL18$4,681.03$2,012.84$564.00$3,260.47$4,681.03
Mountain View HospitalGadsdenAL10$850.00$2,350.00$5,957.00
Coosa Valley Medical CenterSylacaugaAL8$8,100.00$1,944.00$840.00$1,858.50$8,100.00
St. Vincents St. ClairPell CityAL12$928.46$1,006.65$1,729.87
Decatur Morgan - Decatur CampusDecaturAL0
Grandview Medical CenterBirminghamAL0$40,754$6,113.08
Southeast Health Medical CenterDothanAL0$10,306$4,122.30
Springhill Memorial HospitalMobileAL0$2,903.71$2,468.15
Red Bay HospitalRed BayAL0$5,990.00$3,354.40
Tanner Medical Center Alabama Inc.WedoweeAL0$1,584.00$633.60
Noland Hospital Montgomery IiMontgomeryAL0$1,928.40
Noland Hospital Birmingham IiBirminghamAL0$4,847.86
Noland Hospital Dothan IiDothanAL0$2,750.51
Noland Hospital Anniston IiAnnistonAL0$1,928.40
Crestwood Medical CenterHuntsvilleAL0$25,652$4,617.28
Marshall Medical Centers SouthBoazAL0
Helen Keller HospitalSheffieldAL0
Huntsville HospitalHuntsvilleAL0
Gadsden Regional Medical CenterGadsdenAL0$46,665$5,599.82
Flowers HospitalDothanAL0$37,853$5,677.89
Athens LimestoneAthensAL0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.