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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in ND

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Hospitals
5
Min
$831.87
Median
$1,633
Max
$1,877.58
Range multiplier
2.3×

By payer (16 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare39$442.26$768.69$1,1802.7×
medica39$463.32$989.82$3,1466.8×
health partners38$877$1,000.35$2,6743.0×
sanford health plan36$631.8$831.87$3,7365.9×
Blue Cross Blue Shield36$451.11$637.07$3,9338.7×
Multiplan35$989.82$1,021.41$2,002.752.0×
nextblue north dakota12$1,169$1,921.5$2,6742.3×
Aetna12$1,289$2,119.5$2,9502.3×
wellpoint (amerigroup)11$300$300$3001.0×
america's choice provider network11$1,752.41$1,752.41$1,752.411.0×
medincrease11$2,253.1$2,253.1$2,253.11.0×
prime health services11$2,127.92$2,127.92$2,127.921.0×
provider network of america11$1,877.58$1,877.58$1,877.581.0×
quik trip11$1,877.58$1,877.58$1,877.581.0×
usa managed care organization11$1,877.58$1,877.58$1,877.581.0×
velocity provider ppo network11$1,877.58$1,877.58$1,877.581.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY MEDICAL CENTERWILLISTONND6$1,053$610.74$463.32$863.46$989.82
ST JOSEPHS HOSPITAL & HEALTH CTRDICKINSONND6$1,053$663.39$442.26$831.87$1,021.41
PAM REHABILITATION HOSPITAL OF FARGOFARGOND9$2,503.44$2,503.44$300$1,877.58$2,253.1
LINTON HOSPITALLINTONND7$3,933$3,933$516$1,633$3,933
PRESENTATION MEDICAL CENTERROLLAND0$2,850$2,565

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.