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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in MN

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Hospitals
20
Min
$236.93
Median
$1,223.05
Max
$1,321.7
Range multiplier
5.6×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11440$36.1$1,246.44$2,361.665.4×
health partners12196$92.32$816.26$2,843.1630.8×
sanford health plan12184$27.98$1,196.85$1,931.9269.0×
security health plan11182$34.68$1,524$2,46070.9×
medica12179$98.92$785.29$2,47025.0×
First Health16167$38.95$1,708.06$3,532.590.7×
Multiplan12163$40.38$1,770.55$2,78869.0×
wisconsin physician services11160$42.75$1,874.7$2,95269.1×
private healthcare systems11160$40.38$1,770.55$2,78869.0×
Blue Cross Blue Shield19121$105.84$659.32$3,731.8535.3×
ucare1292$94.08$911.73$2,144.5922.8×
UnitedHealthcare1892$125.16$912.04$4,89239.1×
itasca medical care1144$92.32$499.75$943.4810.2×
primewest1143$92.32$125.16$943.4810.2×
south country health alliance936$92.32$499.75$933.2410.1×
WellCare1122$125.16$515.28$943.487.5×
Medicaid721$11.28$796.66$1,886.29167.2×
hennepin health919$104.32$104.32$944.289.1×
optum118$103.02$1,068.15$1,869.618.1×
Humana317$103.02$1,264.25$2,13220.7×
emerging therapies114$101.44$1,316.8$2,099.220.7×
interlink114$118.87$1,543.13$2,46020.7×
Aetna114$107.77$1,399.1$2,230.420.7×
Cigna114$88.76$1,152.2$1,836.820.7×
Medicare713$149.94$952.68$1,016.826.8×
medica [900156]57$1,260$1,991$3,4432.7×
healthpartners [900713]56$1,234.48$1,735.46$2,192.411.8×
ma wisconsin replacement [950271]22$884.49$904.83$925.161.0×
commercial | medica | all plans11$1,621$1,621$1,6211.0×
commercial | sanford health plan | all plans11$1,093.45$1,093.45$1,093.451.0×
blue plus11$324.96$324.96$324.961.0×
hp11$849.5$849.5$849.51.0×
commercial | health partners | all plans11$1,683.98$1,683.98$1,683.981.0×
commercial | preferred one | all other plans11$236.93$236.93$236.931.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LAKEVIEW MEMORIALSTILLWATERMN7$3,925$1,452.25$11.28$994.51$3,532.5
PARK NICOLLET METHODIST HOSPITALST. LOUIS PARKMN8$3,292$855.92$512.25$948.42$3,497
OLIVIA HOSPITAL AND CLINICSOLIVIAMN7$2,513$1,532.93$149.94$887.34$3,405.6
COMMUNITY MEMORIAL HOSPITALCLOQUETMN1$849.5$569.17$849.5$849.5$849.5
ST. GABRIELS HOSPITALLITTLE FALLSMN13$1,151$613.64$151.22$755.42$2,311.27
JOHNSON MEMORIAL HOSPITALDAWSONMN4$1,183.96$1,006.37$248.92$459.3$698.39
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN4$151.22$236.93$2,311.27
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$3,280$1,315.28$88.76$1,321.7$3,500
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN17$2,088.23$887.5$92.32$1,249.88$3,500
FAIRVIEW NORTHLAND REGPRINCETONMN17$2,088.23$991.29$92.32$1,249.88$3,500
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN17$2,088.23$887.5$92.32$1,249.88$3,500
FAIRVIEW RIDGES HOSPITALBURNSVILLEMN17$2,088.23$887.5$92.32$1,249.88$3,500
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN17$2,088.23$887.5$92.32$1,249.88$3,500
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN17$2,088.23$887.5$92.32$1,249.88$3,500
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN17$2,088.23$991.29$92.32$1,249.88$3,500
RANGE REGIONAL HEALTH SERVICESHIBBINGMN15$2,134$906.95$53.01$1,230.54$2,155.77
FAIRVIEW SOUTHDALE HOSPITALEDINAMN17$2,088.23$991.29$27.98$1,223.05$3,365
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN15$2,134$906.95$52.96$1,085.24$2,155.77
HUTCHINSON HEALTH CAREHUTCHINSONMN8$2,718$1,250.28$419.04$1,068.01$4,892
REGIONS HOSPITALST PAULMN7$1,962$510.12$339.39$1,005.32$2,445

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.