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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in NM

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Hospitals
5
Min
$2,235.00
Median
$2,278.00
Max
$4,245.15
Range multiplier
1.9×

By payer (9 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
benefit management [1175]55$2,235.00$2,278.00$3,265.501.5×
magellan behavioral commercial [2895]55$2,235.00$2,278.00$4,245.151.9×
presbyterian health plan [1830]55$2,235.00$2,278.00$4,245.151.9×
the health plan [2915]55$902.94$920.31$1,319.261.5×
zelis [2385]55$2,235.00$2,278.00$3,265.501.5×
caprock health plans [1200]11$4,245.15$4,245.15$4,245.151.0×
Cigna11$4,483.53$4,483.53$4,483.531.0×
samba health [2305]11$4,483.53$4,483.53$4,483.531.0×
Medicare11$3,265.50$3,265.50$3,265.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Lovelace Regional Hospital-RoswellRoswellNM9$6,531.00$1,959.30$1,319.26$4,245.15$4,483.53
Lovelace Womens HospitalAlbuquerqueNM5$4,556.00$1,366.80$920.31$2,278.00$2,278.00
Lovelace Westside HospitalAlbuquerqueNM5$4,556.00$1,366.80$920.31$2,278.00$2,278.00
Lovelace Medical Center- DowntownAlbuquerqueNM5$4,470.00$1,341.00$902.94$2,235.00$2,235.00
Heart Hospital Of New MexicoAlbuquerqueNM5$4,470.00$1,341.00$902.94$2,235.00$2,235.00

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.