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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
Range multiplier
5.2×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield864$33.15$85$4,533.21136.7×
UnitedHealthcare1254$12.16$3,631$7,132586.5×
Aetna1242$13.32$1,109.6$8,155612.2×
Cigna925$2,001$3,161$6,0003.0×
fidelis care816$12.51$526.38$1,104.1388.3×
amerihealth816$37.03$72.82$93.112.5×
qualcare inc815$75.6$87$9,057119.8×
wellpoint814$206.81$1,044.81$3,26615.8×
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$60$601.0×
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$365.31.9×
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$1,173.48$193.15$5,323$6,648
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,339$27.58$1,104.13$5,009
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$4,881$22.71$1,051.87$4,908
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$6,839$15.83$1,051.87$5,521
INSPIRA MEDICAL CENTER ELMERELMERNJ13$447.25$1,046.79$8,155
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ13$447.25$1,046.79$8,155
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$5,419$24.85$1,037.75$5,153
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$3,786$12.41$1,024.64$5,009
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$5,110$12.16$1,024.64$5,009
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$5,110$12.16$1,024.64$5,009
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$6,311$14.45$1,024.64$9,057
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ13$447.25$1,020.42$8,155

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.