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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in ME

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Hospitals
2
Min
$1,863.71
Median
$1,863.71
Max
$1,863.71
Range multiplier
1.0×

By payer (16 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare16$352.61$1,782.29$2,716.227.7×
Aetna15$796.28$1,691.41$2,206.472.8×
Humana14$119.31$591.39$864.057.2×
Anthem BCBS14$336.58$2,431.96$4,444.2513.2×
sentara health plan13$342.99$889.47$2,060.266.0×
Cigna12$2,239.7$2,316.13$2,392.561.1×
gateway - tier 211$2,658.4$2,658.4$2,658.41.0×
gateway - tier 311$1,827.65$1,827.65$1,827.651.0×
connecticare11$2,326.1$2,326.1$2,326.11.0×
vhn11$2,658.4$2,658.4$2,658.41.0×
vhn - link11$2,990.7$2,990.7$2,990.71.0×
vhn - plus11$2,558.71$2,558.71$2,558.711.0×
vhn - secondary payors11$3,156.85$3,156.85$3,156.851.0×
First Health11$352.61$352.61$352.611.0×
vhn - ultra11$2,060.26$2,060.26$2,060.261.0×
gateway - tier 111$3,156.85$3,156.85$3,156.851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$3,323$1,163.05$119.31$1,863.71$4,444.25
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$1,483$1,112.25

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.