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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in MS

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Hospitals
11
Min
$329.08
Median
$971.94
Max
$1,790.1
Range multiplier
5.4×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare441$123.53$1,198$2,38319.3×
Medicaid234$84$297$688.358.2×
Medicare228$118.52$384.15$1,802.5915.2×
Blue Cross Blue Shield428$120.75$818.56$3,949.6432.7×
Cigna318$166.25$1,474.33$2,964.7117.8×
Aetna310$111.7$331.36$2,228.1219.9×
excellus 220118$111.7$350.1$708.226.3×
Humana47$133.51$858.52$1,212.569.1×
independent health 515617$173.78$473.74$1,802.5910.4×
Molina23$839.53$839.53$971.941.2×
langston performance health [100405]12$3,463$3,463$3,4631.0×
american health advantage mcr adv [450117]12$858.52$858.52$858.521.0×
capital district physicians health plan (cdphp) 514912$334.66$630.58$926.52.8×
carecentrix [450200]12$858.52$858.52$858.521.0×
devoted health [450111]12$858.52$858.52$858.521.0×
fidelis 515512$177.4$330.5$483.62.7×
First Health12$1,690.65$1,740.38$1,790.11.1×
generic hospice vbid [10940000101]12$858.52$858.52$858.521.0×
healthcare highways12$875.16$1,084.01$1,292.851.5×
Medicare Advantage12$858.52$858.52$858.521.0×
transplant optum tenncare [350013]12$732$732$7321.0×
TRICARE12$810.88$810.88$810.881.0×
va hospital [600005]12$858.52$858.52$858.521.0×
friday health plan11$1,159.98$1,159.98$1,159.981.0×
mvp 290011$2,861.64$2,861.64$2,861.641.0×
oklahoma health network (ohn)11$1,591.2$1,591.2$1,591.21.0×
osma health11$1,790.1$1,790.1$1,790.11.0×
preferred community choice11$1,829.88$1,829.88$1,829.881.0×
total senior care 131911$1,212.56$1,212.56$1,212.561.0×
upmc health plan 513811$909.42$909.42$909.421.0×
WellCare11$971.94$971.94$971.941.0×
medica11$835.38$835.38$835.381.0×
healthsmart11$1,869.66$1,869.66$1,869.661.0×
Empire BCBS11$2,146.23$2,146.23$2,146.231.0×
meridian11$1,127.45$1,127.45$1,127.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MISSISSIPPI METHODIST REHAB CENTERJACKSONMS7$133.51$971.94$2,228.12
METHODIST H/C OLIVE BRANCH HOSPITALOLIVE BRANCHMS16$8,919.43$1,962.27$297$858.52$3,463
MONTFORT JONES MEMORIAL HOSPITALKOSCIUSKOMS15$3,564$1,782$84$329.08$2,964.71
JEFFERSON COUNTY HOSPITALFAYETTEMS13$1,989$698.13$835.38$1,790.1$3,949.64
LAIRD HOSPITALUNIONMS0$2,278.5$1,389.89
SCOTT REGIONAL HOSPITALMORTONMS0$2,278.5$1,435.46
DELTA HEALTH-NORTHWEST REGIONALCLARKSDALEMS0$4,240.17$2,120.08
JOHN C. STENNIS MEMORIAL HOSPITALDEKALBMS0$2,278.5$1,572.17
DELTA HEALTH-THE MEDICAL CENTERGREENVILLEMS0$4,240.17$2,120.08
MARION GENERAL HOSPITALCOLUMBIAMS0$32,718$19,631
H.C. WATKINS MEMORIAL HOSPITALQUITMANMS0$2,278.5$1,526.6

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.