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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in KS

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Hospitals
13
Min
$236.25
Median
$959.92
Max
$2,596
Range multiplier
11.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1028$225$917.46$3,46215.4×
Blue Cross Blue Shield1225$702.74$1,249.15$4,3286.2×
Medicare725$863.73$875.74$1,827.392.1×
Aetna923$234$1,458.71$11,23648.0×
Medicare Advantage522$867.07$867.07$959.921.1×
Humana921$747$875.74$1,827.392.4×
Workers Comp215$846.79$1,486.98$1,791.562.1×
Ambetter813$1,227.85$1,474.02$3,045.652.5×
smarthealth510$1,213.9$1,213.9$1,317.541.1×
va48$867.07$867.07$867.071.0×
TRICARE55$623.45$623.45$1,791.562.9×
Cigna35$683$959.92$3,1254.6×
vc hope24$867.07$867.07$867.071.0×
gallagher bassett [5032000103]24$1,486.98$1,486.98$1,486.981.0×
occunet24$431$1,857.02$2,117.474.9×
prime health services23$539$2,127.92$2,4674.6×
providrs care33$477.92$477.92$477.921.0×
6 degrees health [503999050]23$2,116.98$3,493.53$4,478.892.1×
healthcare highways [2210]13$702.74$702.74$702.741.0×
kancare amerigroup33$236.25$236.25$236.251.0×
kancare healthy blue33$234$234$2341.0×
kancare sunflower33$234$234$2341.0×
Multiplan33$1,331.78$2,002.75$4,837.23.6×
employer direct healthcare12$1,646.92$1,646.92$1,646.921.0×
via christi research12$867.07$867.07$867.071.0×
First Health12$1,331.78$1,368.63$1,405.481.1×
WellCare12$941.1$941.1$941.11.0×
fort hays state student athletes [5032000960]22$1,778.26$2,770.27$3,762.272.1×
research study encore borland-groover12$941.1$941.1$941.11.0×
wppa12$395$1,102$1,8094.6×
community care health plan of12$747$2,104.5$3,4624.6×
allwell [503200078]22$872.2$1,358.75$1,845.32.1×
avmed exchange12$1,693.98$1,693.98$1,693.981.0×
occunet [503999930]22$1,778.26$2,770.27$3,762.272.1×
bc advantage mcr replacement12$941.1$941.1$941.11.0×
90 degree benefits12$1,693.98$1,693.98$1,693.981.0×
corizon12$1,083.84$1,083.84$1,083.841.0×
medincrease health plan12$467$1,302.5$2,1384.6×
Molina12$1,741.04$1,741.04$1,741.041.0×
advanced medical pricing solutions [503301513]22$2,680.01$4,027.34$5,374.672.0×
prime health services [503999912]22$1,486.98$1,486.98$1,486.981.0×
ku athletics [503200094]22$846.79$1,319.18$1,791.562.1×
pace place12$941.1$941.1$941.11.0×
careplus mcr replacement12$959.92$959.92$959.921.0×
centivo [5032000982]12$3,403.96$3,403.96$3,403.961.0×
centurion [5032000966]22$1,100.83$1,714.93$2,329.022.1×
Oscar Health12$1,505.76$1,505.76$1,505.761.0×
triwest [503201703]22$893.34$1,342.45$1,791.562.0×
sedgwick claims management services [53201618]22$1,486.98$1,486.98$1,486.981.0×
alt bnsf railway co [503301503]22$1,486.98$1,486.98$1,486.981.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
GREAT PLAINS OF OTTAWA COUNTY INCMINNEAPOLISKS23$922.28$959.92$11,236
VIA CHRISTI HOSP. WICHITA ST. TERESAWICHITAKS12$867.07$875.74$2,427.8
VIA CHRISTI REHAB CENTER INCWICHITAKS10$649.17$875.74$2,427.8
VIA CHRISTI HOSPITAL PITTSBURG INC.PITTSBURGKS14$225$867.07$2,427.8
MERCY REGIONAL HEALTH CENTERMANHATTANKS14$225$867.07$2,427.8
ST.FRANCIS HEALTH CENTERTOPEKAKS19$1,714$514.2$702.74$702.74$1,714
KEARNY COUNTY HOSPITALLAKINKS6$5,194$747$2,596$5,194
WAMEGO HOSPITAL ASSOCIATIONWAMEGOKS8$225$236.25$1,594.6
REHABILITATION HOSP OF OVERLAND PARKOVERLAND PARKKS9$2,503.44$2,503.44$1,502.06$1,877.58$2,253.1
UNIVERSITY OF KANSAS HOSPITALKANSAS CITYKS29$10,532$2,106.32$1,486.98$1,809.48$5,374.67
UKHS GREAT BEND CAMPUSGREAT BENDKS20$3,954.34$790.87$296.08$1,404.03$2,680.01
NEWTON MEDICAL CENTERNEWTONKS12$3,289$2,302$395$1,243.5$4,852
CHILDRENS MERCY HOSPITAL KANSASOVERLAND PARKKS0$2,979$1,429.92

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.