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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in IN

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Hospitals
19
Min
$274.3
Median
$274.3
Max
$2,851.04
Range multiplier
10.4×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS676$269.76$269.76$460.371.7×
UnitedHealthcare742$40.24$287.43$950.5123.6×
Medicaid624$274.3$274.3$274.31.0×
Humana722$460.37$460.37$950.512.1×
Aetna722$460.37$460.37$11,23624.4×
Medicare Advantage720$460.37$460.37$959.922.1×
patoka valley tier 1614$269.76$269.76$269.761.0×
Medicare714$460.37$460.37$941.12.0×
patoka valley tier 2614$269.76$269.76$269.761.0×
mhs care connect612$274.3$274.3$274.31.0×
Ambetter78$460.37$460.37$1,788.093.9×
secure horizons-pacificare66$460.37$460.37$460.371.0×
corizon66$460.37$460.37$460.371.0×
encore exclusive66$269.76$269.76$269.761.0×
personalized care66$460.37$460.37$460.371.0×
immergrun66$460.37$460.37$460.371.0×
CareSource66$460.37$460.37$460.371.0×
ascension complete mcr66$460.37$460.37$460.371.0×
WellCare12$941.1$941.1$941.11.0×
avmed exchange12$1,693.98$1,693.98$1,693.981.0×
bc advantage mcr replacement12$941.1$941.1$941.11.0×
Blue Cross Blue Shield12$941.1$941.1$941.11.0×
careplus mcr replacement12$959.92$959.92$959.921.0×
Cigna12$950.51$955.22$959.921.0×
employer direct healthcare12$1,646.92$1,646.92$1,646.921.0×
Molina12$1,741.04$1,741.04$1,741.041.0×
occunet12$1,741.04$1,929.26$2,117.471.2×
Oscar Health12$1,505.76$1,505.76$1,505.761.0×
pace place12$941.1$941.1$941.11.0×
research study encore borland-groover12$941.1$941.1$941.11.0×
smarthealth12$1,317.54$1,317.54$1,317.541.0×
VA Health12$941.1$941.1$941.11.0×
90 degree benefits12$1,693.98$1,693.98$1,693.981.0×
community hospice11$941.1$941.1$941.11.0×
velocity provider ppo network11$2,851.04$2,851.04$2,851.041.0×
america's choice provider11$2,660.97$2,660.97$2,660.971.0×
haven hospice11$941.1$941.1$941.11.0×
prime health services11$3,231.18$3,231.18$3,231.181.0×
quik trip11$2,851.04$2,851.04$2,851.041.0×
usa managed care organization11$2,851.04$2,851.04$2,851.041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ASCENSION ST. VINCENT DUNNBEDFORDIN23$922.28$959.92$11,236
REHABILITATION HOSPITAL OF INDIANAINDIANAPOLISIN5$3,801.39$3,801.39$2,660.97$2,851.04$3,231.18
ASCENSION ST. VINCENT WARRICKBOONEVILLEIN18$40.24$274.3$460.37
ASCENSION ST. VINCENT JENNINGSNORTH VERNONIN18$40.24$274.3$460.37
ST. MARY MEDICAL CENTER INC.HOBARTIN18$40.24$274.3$460.37
ASCENSION ST VINCENT SETON SPECIALTYINDIANAPOLISIN18$40.24$274.3$460.37
ST VINCENT SETON SPECIALTY HOSP-LAFLAFAYETTEIN18$40.24$274.3$460.37
ASCENSION ST. VINCENT WILLIAMSPORTWILLIAMSPORTIN18$40.24$274.3$460.37
LAPORTE HOSPITALLAPORTEIN0$18,107$5,975.26
DUKES MEMORIAL HOSPITALPERUIN0$17,934$8,966.93
MARGARET MARY COMMUNITY HOSPITALBATESVILLEIN0$1,081.8$908.71
LUTHERAN MUSCULOSKELETAL CENTERFORT WAYNEIN0$657$177.39
MARION GENERAL HOSPITALMARIONIN0$32,718$19,631
LUTHERAN HOSPITAL OF INDIANAFT WAYNEIN0$11,380$3,414.02
PORTER REGIONAL HOSPITALVALPARAISOIN0$15,204$4,104.96
SCHNECK MEDICAL CENTERSEYMOURIN0$670$469
BLUFFTON REGIONAL MEDICAL CENTERBLUFFTONIN0$16,199$3,887.84
STARKE MEMORIAL HOSPITALKNOXIN0$20,402$5,508.55
DUPONT HOSPITALFORT WAYNEIN0$11,181$3,018.93

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.