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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$1,020.42
Median
$1,046.79
Max
$5,323.00
Range multiplier
5.2×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield864$33.15$85.00$4,533.21136.7×
UnitedHealthcare1254$12.16$3,631.00$7,132.00586.5×
Aetna1242$13.32$1,109.60$8,155.00612.2×
Cigna925$2,001.00$3,161.00$6,000.003.0×
fidelis care816$12.51$526.38$1,104.1388.3×
amerihealth816$37.03$72.82$93.112.5×
qualcare inc815$75.60$87.00$9,057.00119.8×
wellpoint814$206.81$1,044.81$3,266.0015.8×
WellCare1111$1,020.42$2,039.03$2,197.222.2×
clover health1111$1,020.42$1,037.75$1,104.131.1×
Humana1111$1,024.64$1,051.87$1,104.131.1×
First Health88$60.00$60.00$60.001.0×
Emblem Health88$1,793.12$1,804.59$2,103.741.2×
wellpoint full dual advantage33$1,020.42$1,046.79$1,046.791.0×
Ambetter33$2,091.87$2,145.92$2,145.921.0×
braven health33$1,020.42$1,046.79$1,046.791.0×
healthspring33$1,051.04$1,078.19$1,078.191.0×
horizon nj health33$447.25$447.25$447.251.0×
horizon nj total care33$1,020.42$1,046.79$1,046.791.0×
jefferson health plan33$1,091.85$1,120.07$1,120.071.0×
Medicare33$1,020.42$1,046.79$1,046.791.0×
pa health_wellness chc12$193.15$279.23$365.301.9×
horizon nj health nj11$228.64$228.64$228.641.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Kennedy University HospitalCherry HillNJ5$4,281.00$1,173.48$193.15$5,323.00$6,648.00
Jersey City Medical CenterJersey CityNJ13$5,339.00$27.58$1,104.13$5,009.00
Newark Beth Israel Medical CenterNewarkNJ13$4,881.00$22.71$1,051.87$4,908.00
Cooperman Barnabas Medical CenterLivingstonNJ13$6,839.00$15.83$1,051.87$5,521.00
Inspira Medical Center ElmerElmerNJ13$447.25$1,046.79$8,155.00
Inspira Medical Center Woodbury IncWoodburyNJ13$447.25$1,046.79$8,155.00
Monmouth Medical CenterLong BranceNJ13$5,419.00$24.85$1,037.75$5,153.00
Community Medical CenterToms RiverNJ13$3,786.00$12.41$1,024.64$5,009.00
Robert Wood Johnson University HospiNew BrunswickNJ13$5,110.00$12.16$1,024.64$5,009.00
Robert Wood Johnson Hospital @ HamiHamiltonNJ13$5,110.00$12.16$1,024.64$5,009.00
Robert Wood Johnson Univ Hosp @ SomSomervilleNJ13$6,311.00$14.45$1,024.64$9,057.00
Inspira Medical Center VinelandVinelandNJ13$447.25$1,020.42$8,155.00

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.