▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in GA
Hospitals
8
Min
$299.25
Median
$906.76
Max
$2,051.00
Range multiplier
6.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 6 | 19 | $256.50 | $999.27 | $11,584 | 45.2× |
| UnitedHealthcare | 6 | 18 | $1.00 | $848.09 | $3,250.00 | 3250.0× |
| Blue Cross Blue Shield | 4 | 16 | $58.84 | $1,758.28 | $4,043.91 | 68.7× |
| Cigna | 4 | 13 | $1.00 | $1,424.04 | $4,917.00 | 4917.0× |
| Humana | 6 | 12 | $143.76 | $825.46 | $4,113.00 | 28.6× |
| WellCare | 5 | 10 | $285.00 | $941.10 | $1,049.24 | 3.7× |
| First Health | 3 | 8 | $270.75 | $2,517.50 | $4,313.24 | 15.9× |
| CareSource | 3 | 7 | $13.49 | $932.42 | $1,584.21 | 117.5× |
| Health Net | 1 | 6 | $143.76 | $642.14 | $2,570.50 | 17.9× |
| Medicaid | 1 | 4 | $1.00 | $218.19 | $844.14 | 844.1× |
| Ambetter | 3 | 4 | $1,040.54 | $1,296.68 | $1,552.82 | 1.5× |
| banner health | 1 | 3 | $143.76 | $285.00 | $999.27 | 7.0× |
| Oscar Health | 2 | 3 | $1,176.84 | $1,505.76 | $1,505.76 | 1.3× |
| peach state | 1 | 3 | $12.84 | $932.42 | $1,086.31 | 84.6× |
| devoted health | 2 | 3 | $302.10 | $932.42 | $1,059.23 | 3.5× |
| arizona medical network | 1 | 2 | $285.00 | $642.14 | $999.27 | 3.5× |
| alliant op rate | 2 | 2 | $2,051.00 | $2,051.00 | $2,051.00 | 1.0× |
| blue mcr replacement | 1 | 2 | $941.10 | $941.10 | $941.10 | 1.0× |
| bridgeway health solutions | 1 | 2 | $285.00 | $642.14 | $999.27 | 3.5× |
| dodge cty op rate | 2 | 2 | $1,129.30 | $1,139.75 | $1,150.20 | 1.0× |
| facility billing - op | 1 | 2 | $941.10 | $941.10 | $941.10 | 1.0× |
| health choice pathway | 1 | 2 | $285.00 | $642.14 | $999.27 | 3.5× |
| health management network | 1 | 2 | $285.00 | $642.14 | $999.27 | 3.5× |
| healthspring mcr replacement | 1 | 2 | $950.51 | $955.22 | $959.92 | 1.0× |
| imperial insurance | 1 | 2 | $299.25 | $674.25 | $1,049.24 | 3.5× |
| Medicare Advantage | 1 | 2 | $941.10 | $941.10 | $941.10 | 1.0× |
| occunet | 1 | 2 | $1,741.04 | $1,929.26 | $2,117.47 | 1.2× |
| riverwood behavioral health | 1 | 2 | $905.26 | $1,018.42 | $1,131.58 | 1.3× |
| rural arizona network | 1 | 2 | $285.00 | $642.14 | $999.27 | 3.5× |
| secure health op rate | 2 | 2 | $2,260.00 | $2,260.00 | $2,260.00 | 1.0× |
| smarthealth | 1 | 2 | $1,317.54 | $1,317.54 | $1,317.54 | 1.0× |
| sonder health plan | 1 | 2 | $950.52 | $950.52 | $950.52 | 1.0× |
| united mine workers of america | 1 | 2 | $285.00 | $642.14 | $999.27 | 3.5× |
| Medicare | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| TRICARE | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| mercy care | 1 | 1 | $150.95 | $150.95 | $150.95 | 1.0× |
| Multiplan | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| naphcare | 1 | 1 | $1,403.15 | $1,403.15 | $1,403.15 | 1.0× |
| novanet | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| americas choice provider network | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| acchs | 1 | 1 | $143.76 | $143.76 | $143.76 | 1.0× |
| arizona complete health | 1 | 1 | $143.76 | $143.76 | $143.76 | 1.0× |
| corvel | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| peach state hp op rate | 1 | 1 | $1,031.02 | $1,031.02 | $1,031.02 | 1.0× |
| employer direct healthcare | 1 | 1 | $1,267.36 | $1,267.36 | $1,267.36 | 1.0× |
| phcs op rate | 1 | 1 | $4,409.09 | $4,409.09 | $4,409.09 | 1.0× |
| clear spring health plan | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| georgia workers’ compensation | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| health choice | 1 | 1 | $150.95 | $150.95 | $150.95 | 1.0× |
| prime health services | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Marys Sacred Heart Hospital | Lavonia | GA | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Perry Hospital | Perry | GA | 10 | — | $1,672.30 | $743.25 | $906.76 | $3,768.00 |
| Southern Regional Medical Center | Riverdale | GA | 26 | $4,131.95 | $905.00 | $12.84 | $905.26 | $2,297.20 |
| Dodge County Hospital | Eastman | GA | 6 | $1,582.27 | — | $1.00 | $790.92 | $1,700.00 |
| West Central Ga Regional Hospital | Columbus | GA | 22 | $2,650.00 | $1,966.30 | $143.76 | $299.25 | $2,570.50 |
| Houston Medical Center | Warner Robins | GA | 16 | — | $1,672.30 | $743.25 | $2,051.00 | $4,917.00 |
| Southwell Medical | Adel | GA | 0 | — | — | — | — | — |
| Union General Hospital | Blairsville | GA | 0 | — | — | — | — | — |
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.