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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in IA

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Hospitals
24
Min
$263.10
Median
$435.40
Max
$2,976.00
Range multiplier
11.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1999$129.71$868.00$3,242.0025.0×
Blue Cross Blue Shield1891$123.53$309.50$2,356.0019.1×
Aetna1675$123.53$403.43$3,119.0025.2×
medica343$259.52$1,056.00$2,383.169.2×
Humana1733$123.53$385.00$1,066.408.6×
amerigroup1625$288.75$824.64$1,119.723.9×
health partners open network1423$289.14$289.14$1,712.065.9×
Molina1121$126.00$881.72$2,568.0020.4×
amerivantage1121$123.53$129.71$984.448.0×
Cigna1519$330.99$330.99$6,800.0020.5×
millard public schools318$1,056.00$2,380.80$3,489.133.3×
one world318$1,056.00$2,380.80$3,489.133.3×
greater omaha packing318$1,056.00$2,380.80$3,489.133.3×
midlands choice318$1,056.00$2,380.80$3,437.253.3×
iowa total care1313$777.12$824.64$932.841.2×
Centene311$280.50$687.45$1,087.733.9×
phcs310$1,078.00$2,430.40$3,437.253.2×
Multiplan310$1,078.00$2,430.40$3,895.553.6×
quiktrip310$1,056.00$2,380.80$2,749.802.6×
bc illinois community210$289.71$564.42$753.522.6×
timpte39$1,056.00$2,380.80$3,489.133.3×
pace37$275.00$473.00$1,066.403.9×
amps37$610.50$1,050.06$2,367.413.9×
great plains37$288.75$496.65$1,119.723.9×
iamolina35$491.92$907.61$1,109.062.3×
health alliance24$123.53$502.63$881.727.1×
meridian health plan24$129.71$518.68$907.657.0×
Ambetter24$123.53$753.31$1,383.0911.2×
common ground13$2,727.00$2,727.00$2,727.001.0×
wisconsin physician service13$2,883.00$3,035.00$3,035.001.1×
medical associates health plan12$228.53$871.17$1,513.806.6×
meridian12$129.71$585.44$1,041.178.0×
medica exchange inspire22$1,308.87$1,486.22$1,663.561.3×
total care12$482.46$785.10$1,087.732.3×
Anthem BCBS12$1,979.00$2,264.50$2,550.001.3×
medica exchange insure22$1,468.73$1,666.06$1,863.391.3×
health payment systems11$3,350.00$3,350.00$3,350.001.0×
everpointe elite11$2,153.00$2,153.00$2,153.001.0×
elap11$1,283.24$1,283.24$1,283.241.0×
dean health plan11$1,051.56$1,051.56$1,051.561.0×
payer negotiated charge: iowa total care11$463.84$463.84$463.841.0×
creighton university employees11$1,879.03$1,879.03$1,879.031.0×
quartz group11$3,260.00$3,260.00$3,260.001.0×
quartz one11$2,790.00$2,790.00$2,790.001.0×
centivo11$3,169.00$3,169.00$3,169.001.0×
aurora caregiver11$2,450.00$2,450.00$2,450.001.0×
Medicare11$364.10$364.10$364.101.0×
todays options11$931.98$931.98$931.981.0×
trilogy11$4,387.00$4,387.00$4,387.001.0×
iowa health11$129.71$129.71$129.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Iowa Lutheran HospitalDes MoinesIA12$4,995.68$3,996.55$123.53$892.56$2,281.62
Iowa Methodist Medical CenterDes MoinesIA12$4,995.68$3,996.55$123.53$669.35$2,407.80
The Finley HospitalDubuqueIA14$1,143.00$914.40$123.53$564.42$2,165.97
Trinity MuscatineMuscatineIA12$1,143.00$914.40$123.53$499.91$2,817.86
Mitchell County Regional Health CentOsageIA5$896.10$806.49$364.10$480.75$1,767.45
Allen Memorial HospitalWaterlooIA10$1,143.00$914.40$123.53$435.40$2,555.00
Trinity Regional Medical CenterFort DodgeIA8$1,143.00$914.40$123.53$435.40$2,460.37
Grundy County Mem. HospitalGrundy CenterIA10$1,143.00$914.40$123.53$435.40$2,555.00
St. Lukes Methodist HospitalCedar RapidsIA10$1,143.00$914.40$123.53$435.40$2,334.20
Trinity BettendorfBettendorfIA11$1,143.00$914.40$123.53$435.40$2,407.80
Unitypoint Health-MarshalltownMarshalltownIA10$1,143.00$914.40$123.53$331.06$1,647.71
St. Lukes Regl Medical CenterSioux CityIA10$1,143.00$914.40$123.53$331.06$932.84
Grinnell Regional Medical CenterGrinnellIA10$1,143.00$914.40$123.53$331.06$932.84
Community Mem. Hospt. SummerSumnerIA10$1,143.00$914.40$123.53$331.06$932.84
Washington County HospitalWashingtonIA15$1,979.00$2,976.00$6,800.00
Jones Regional Medical CtrAnamosaIA8$1,143.00$914.40$123.53$263.10$435.40
Chi Health Mercy Council BluffsCouncil BluffsIA21$4,583.00$1,924.86$259.52$2,108.18$3,895.55
Chi Health Mercy CorningCorningIA18$2,480.00$1,190.40$275.00$1,066.40$2,430.40
Chi Health - Missouri ValleyMissouri ValleyIA19$2,480.00$1,215.20$275.00$1,056.00$2,430.40
Mercy Hospital Iowa CityIowa CityIA0$2,979.00$1,429.92
Stewart Memorial HospitalLake CityIA0$4,252.00$3,401.00
Greene County Medical CenterJeffersonIA0$1,170.00$655.20
Story County HospitalNevadaIA0$953.00$762.40
Peoples Memorial HospitalIndependenceIA0$951.98$809.18

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.