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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in AZ

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Hospitals
9
Min
$119.33
Median
$1,852.76
Max
$2,093.50
Range multiplier
17.5×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare843$119.33$2,050.00$4,070.0034.1×
Aetna826$119.33$1,065.89$3,055.0025.6×
Cigna625$242.25$2,193.00$4,377.0018.1×
Blue Cross Blue Shield622$242.54$2,107.21$4,768.5919.7×
Humana716$143.76$1,065.89$3,503.0024.4×
Medicare512$797.31$826.27$878.001.1×
arizona physicians ipa inc19$661.39$2,050.00$3,600.005.4×
WellCare26$119.33$292.13$1,049.248.8×
Health Net16$143.76$642.14$2,570.5017.9×
First Health15$270.75$999.27$2,517.509.3×
Medicaid55$146.50$146.50$601.634.1×
eff date14$29,221$43,549$43,7701.5×
amount14$350.00$1,325.00$2,291.006.5×
commercial | az foundation | pos44$1,323.72$1,323.72$1,424.841.1×
commercial | az foundation | ppo44$1,323.72$1,323.72$1,424.841.1×
commercial | connected care | intel44$2,255.00$2,255.00$3,016.001.3×
de-identified max14$322.00$1,219.00$2,107.726.5×
de-identified min14$245.00$927.50$1,603.706.5×
banner health13$143.76$285.00$999.277.0×
devoted health12$302.10$680.67$1,059.233.5×
arizona medical network12$285.00$642.14$999.273.5×
health choice pathway12$285.00$642.14$999.273.5×
health management network12$285.00$642.14$999.273.5×
imperial insurance12$299.25$674.25$1,049.243.5×
bridgeway health solutions12$285.00$642.14$999.273.5×
Meritain Health12$2,050.00$2,050.00$2,050.001.0×
rural arizona network12$285.00$642.14$999.273.5×
the health plan12$102.94$111.14$119.331.2×
leading edge administrators11$661.39$661.39$661.391.0×
summit administration services11$2,050.00$2,050.00$2,050.001.0×
acchs11$143.76$143.76$143.761.0×
mercy care11$150.95$150.95$150.951.0×
commercial | azfmc | pos11$1,424.85$1,424.85$1,424.851.0×
optum ccn region 111$119.33$119.33$119.331.0×
commercial | azfmc | all other plans11$1,424.85$1,424.85$1,424.851.0×
health choice11$150.95$150.95$150.951.0×
optum ccn region 211$119.33$119.33$119.331.0×
physicians mutual insurance co11$1,025.00$1,025.00$1,025.001.0×
caresoure kentucky11$196.89$196.89$196.891.0×
care 1st11$143.76$143.76$143.761.0×
arizona complete health11$143.76$143.76$143.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Yavapai Regional Medical CenterPrescottAZ21$2,650.00$1,966.30$143.76$299.25$2,570.50
St. Josephs Hospital & Medical CtrPhoenixAZ10$146.50$2,093.50$4,768.59
Chandler Regional Medical CenterChandlerAZ10$146.50$2,064.01$4,213.72
Mercy Gilbert Medical CenterGilbertAZ10$146.50$2,039.01$4,213.72
Carondelet St. Joseph HospitalTucsonAZ10$601.63$1,852.76$4,263.47
Mt. Graham Regional Medical CenterSaffordAZ12$4,210.02$1,603.70$245.00$1,744.85$43,770
Arizona General HospitalLaveenAZ9$601.63$1,524.35$2,745.00
Santa Cruz Valley Regional HospitalGreen ValleyAZ7$983.00$589.80$102.94$119.33$196.89
Abrazo West CampusGoodyearAZ0$2,890.00$635.80

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.