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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in MO

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Hospitals
13
Min
$284.48
Median
$911.72
Max
$1,809.48
Range multiplier
6.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield882$23.32$1,594.00$3,842.89164.8×
Aetna863$22.00$279.40$3,669.46166.8×
Cigna755$49.20$878.08$6,771.00137.6×
Humana838$22.20$1,121.59$6,690.00301.4×
UnitedHealthcare837$22.40$972.95$6,278.00280.3×
cox health systems insurance company [220]735$55.00$65.00$1,875.5034.1×
allied benefits [498]735$58.00$74.30$2,281.0039.3×
consociate [478]730$54.20$1,850.00$4,587.0084.6×
med-pay [480]728$65.00$454.50$2,557.5039.3×
phcs [244]728$75.00$484.80$2,728.0036.4×
healthscope benefits [258]727$65.00$1,000.80$6,278.0096.6×
medica [661]721$80.00$1,016.00$2,728.0034.1×
hope trust [806]721$58.00$736.60$1,977.8034.1×
health alliance [224]721$55.00$698.50$2,387.0043.4×
healthlink [225]721$48.50$65.00$75.501.6×
healthcare sol mercy [609]721$75.00$952.50$2,557.5034.1×
priority health [648]719$54.30$962.44$6,771.00124.7×
nalc health benefit plan [242]719$54.30$962.44$6,771.00124.7×
apwu health plan [216]719$54.30$962.44$6,771.00124.7×
sarah bush lincoln [636]718$54.20$1,850.00$4,587.0084.6×
essence healthcare [221]717$22.00$908.45$3,669.46166.8×
cox health [757]717$23.10$953.87$3,852.93166.8×
medica [662]717$23.54$953.87$3,852.93163.7×
devoted health plan [847]614$24.15$953.87$2,161.3989.5×
unicare [568]714$65.00$70.25$75.501.2×
Workers Comp19$1,486.98$1,486.98$1,791.561.2×
Multiplan88$75.00$75.00$4,837.2064.5×
health systems inc [620]77$75.00$75.00$75.001.0×
detego health [868]77$75.00$75.00$75.001.0×
coresource [497]77$60.30$60.30$2,281.0037.8×
hfn [563]77$80.00$80.00$85.001.1×
mail handlers [495]77$60.30$60.30$2,281.0037.8×
beechstreet [551]77$75.00$75.00$75.001.0×
First Health77$74.30$74.30$74.301.0×
fmh benefit service inc [222]77$60.30$60.30$2,281.0037.8×
preferred health professionals [561]77$75.50$75.50$75.501.0×
Medicare24$961.17$1,809.48$1,944.762.0×
mercy behavioral health [573]33$25.00$25.00$25.001.0×
mh magellan health services [270]22$100.00$100.00$100.001.0×
gallagher bassett [5032000103]12$1,486.98$1,486.98$1,486.981.0×
centivo [5032000982]12$3,403.96$3,403.96$3,403.961.0×
6 degrees health [503999050]12$3,493.53$3,986.21$4,478.891.3×
Ambetter11$3,045.65$3,045.65$3,045.651.0×
occunet [503999930]11$3,762.27$3,762.27$3,762.271.0×
oscar [503201609]11$3,403.96$3,403.96$3,403.961.0×
alt wppa [5032000964]11$3,583.11$3,583.11$3,583.111.0×
devoted [503200068]11$1,791.56$1,791.56$1,791.561.0×
prime health services [503999912]11$1,486.98$1,486.98$1,486.981.0×
alt bnsf railway co [503301503]11$1,486.98$1,486.98$1,486.981.0×
allwell [503200078]11$1,845.30$1,845.30$1,845.301.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$12,176$7,305.43$48.50$967.44$6,771.00
Progress West HospitalOfallonMO36$8,149.81$4,889.89$48.50$960.66$6,771.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO36$9,025.61$5,415.37$45.60$911.72$4,402.00
St. Louis Childrens HospitalSt. LouisMO34$20,745$12,447$48.50$892.66$6,278.00
Parkland Health Center - FarmingtonFarmingtonMO36$8,704.61$5,222.77$25.00$872.49$4,587.00
Missouri Baptist Hospital SullivanSullivanMO36$11,416$6,849.37$22.00$284.48$4,587.00
Missouri Baptist Sullivan HospitalSullivanMO36$11,416$6,849.37$22.00$284.48$4,587.00
North Kansas City HospitalNorth Kansas CityMO29$10,532$2,106.32$1,486.98$1,809.48$5,374.67
Ranken JordanMaryland HeightsMO0$1,402.50$1,122.00
Moberly Regional Medical CenterMoberlyMO0$32,029$8,647.94
Missouri Delta Medical CenterSikestonMO0$6,796.90$1,699.23
Harrison County Community HospitalBethanyMO0$301.00$150.50
Northeast Regional Medical CenterKirksvilleMO0$24,064$5,775.37

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.