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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in NV

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Hospitals
7
Min
$1,047.77
Median
$1,435.00
Max
$3,902.63
Range multiplier
3.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare514$926.00$2,003.50$3,902.634.2×
TRICARE312$926.00$926.00$986.541.1×
Aetna411$879.11$1,842.00$5,894.896.7×
Blue Cross Blue Shield29$926.00$2,020.34$2,679.002.9×
Medicare58$879.11$911.35$986.541.1×
Anthem BCBS37$329.44$986.54$3,283.7010.0×
Cigna46$2,192.94$4,384.31$5,125.002.3×
Medicaid45$281.00$329.44$329.441.2×
Humana45$741.78$879.11$5,894.897.9×
Molina23$329.44$986.54$998.483.0×
pa health & wellness13$927.23$1,112.68$3,500.003.8×
govt employees health assn [3081090]13$3,902.63$3,902.63$3,902.631.0×
health partners plan13$927.23$1,390.85$1,582.001.7×
healthpartners [3081368]13$926.00$926.00$926.001.0×
imperial insurance companies13$1,479.81$1,479.81$1,825.101.2×
silver summit13$329.44$986.54$1,578.464.8×
keystone13$157.50$964.32$3,634.0023.1×
medica (commercial) 94265 [3081118]13$5,436.40$5,436.40$5,436.401.0×
Multiplan33$1,181.95$2,002.75$3,327.162.8×
intermountain healthcare (hcp)12$986.54$1,381.16$1,775.771.8×
employer direct healthcare22$1,298.12$1,339.64$1,381.161.1×
velocity provider ppo network22$1,108.08$1,492.83$1,877.581.7×
commercial | health services coalition | all plans22$1,435.00$1,435.00$1,435.001.0×
commercial | teachers health trust | all plans22$2,691.73$2,691.73$2,691.731.0×
prime health services22$1,255.82$1,691.87$2,127.921.7×
national telephone cooperative assn 52103 [3081149]12$3,902.63$3,902.63$3,902.631.0×
naphcare22$1,437.21$1,483.18$1,529.141.1×
usa managed care organization22$1,108.08$1,492.83$1,877.581.7×
risk admin svs [3081167]12$3,238.12$3,238.12$3,238.121.0×
quik trip22$1,108.08$1,492.83$1,877.581.7×
Meritain Health12$4,384.31$4,384.31$4,384.311.0×
sierra health12$454.86$454.86$454.861.0×
commercial | health plan of nv | all plans22$1,729.00$1,729.00$1,729.001.0×
three rivers11$1,508.30$1,508.30$1,508.301.0×
three rivers provider network11$1,255.82$1,255.82$1,255.821.0×
tlc advantage llc [3081189]11$6,156.89$6,156.89$6,156.891.0×
triwest11$976.67$976.67$976.671.0×
va black hills health care system 12115 [3081206]11$926.00$926.00$926.001.0×
va ccn optum [3081339]11$926.00$926.00$926.001.0×
worker compensation11$1,047.77$1,047.77$1,047.771.0×
6 degrees health11$1,973.08$1,973.08$1,973.081.0×
Workers Comp11$1,554.95$1,554.95$1,554.951.0×
alignment11$1,006.27$1,006.27$1,006.271.0×
allied benefit systems inc [3081320]11$4,384.31$4,384.31$4,384.311.0×
america's choice11$1,034.21$1,034.21$1,034.211.0×
americas choice provider network11$1,752.41$1,752.41$1,752.411.0×
Auto Insurance11$1,019.95$1,019.95$1,019.951.0×
avera health plans 46045 [3081018]11$4,449.11$4,449.11$4,449.111.0×
commercial | sierra health options | prime11$2,535.00$2,535.00$2,535.001.0×
commercial | sierra health options | state of nv11$2,535.00$2,535.00$2,535.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Orthopedic Specialty HospitalLas VegasNV32$6,549.88$6,549.88$926.00$3,902.63$6,222.40
Pam Rehab Hosp Of Centennial HillsLas VegasNV8$2,503.44$2,503.44$998.48$1,877.58$2,127.92
St. Rose Dominican - DelimaHendersonNV12$329.44$1,729.00$5,125.00
St. Rose Dominican - San MartinLas VegasNV10$329.44$1,435.00$5,125.00
North Vista HospitalNorth Las VegasNV22$4,885.53$986.00$326.15$1,210.00$3,283.70
Pam Specialty Hospital Of Las VegasLas VegasNV11$1,477.44$1,477.44$1,034.21$1,108.08$1,255.82
Mt. Grant General HospitalHawthorneNV16$6,843.00$927.00$157.50$1,047.77$3,634.00

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.