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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in NY

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Hospitals
11
Min
$267.54
Median
$823.85
Max
$1,896.48
Range multiplier
7.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield7104$84$486.83$5,440.0164.8×
UnitedHealthcare961$89.43$449.6$10,588118.4×
Aetna949$108.6$990.36$9,78490.1×
Emblem Health436$101$972.45$5,536.0154.8×
Empire BCBS328$140.39$1,184.44$5,536.0139.4×
Medicaid226$85.85$281.09$1,011.3311.8×
mvp425$108.6$796.82$5,536.0151.0×
capital district physicians' health plan324$231.74$340.8$3,497.0115.1×
Healthfirst323$124.79$439.13$5,536.0144.4×
Medicare222$108.6$323.78$1,245.3911.5×
fidelis care422$108.6$143.73$1,260.8411.6×
Cigna512$166.25$800.93$7,04142.4×
Humana711$108.6$890.68$1,191.3611.0×
magnacare511$845.6$2,017.28$3,9574.7×
amerihealth110$156.01$245.16$1,164.947.5×
fidelis29$151.42$2,147.71$5,536.0136.6×
Multiplan39$951.3$1,265.4$2,986.23.1×
choicecare28$140.54$834.66$2,792.2519.9×
[magnacare]17$928.8$1,036$2,379.22.6×
mvp 290016$120.45$347.14$2,481.7320.6×
oxford26$730.09$1,365.68$8,40011.5×
VA Health36$127.76$636.65$1,260.849.9×
martins point36$340.8$766.08$1,260.843.7×
geisinger16$215.44$237.73$449.62.1×
Molina45$132.07$1,209.32$5,536.0141.9×
wellpath24$178.86$948.58$1,891.2610.6×
excellus 220114$108.6$383.72$690.86.4×
st. regis24$1,065.6$1,105.57$1,191.361.1×
fidelis 515514$151.12$294.68$483.63.2×
independent health 515614$166.96$321.64$525.723.1×
harvard pilgrim24$845.6$1,573.6$2,654.43.1×
First Health24$898.45$1,770.3$2,820.33.1×
univera14$111.7$125.95$164.261.5×
[oxford]14$734.03$4,608.24$10,03813.7×
[metroplus]14$272.98$1,233.29$2,319.728.5×
[fidelis]13$155.99$155.99$155.991.0×
[urn]13$1,006.2$1,010.1$2,111.542.1×
centers plan for healthy living23$155.38$990.36$1,109.477.1×
emblemhealth13$271.92$1,054$1,6226.0×
Medicare Advantage13$600.51$687.95$1,8783.1×
pennsylvania health and wellness13$196.13$222.87$421.52.1×
metroplus12$151.42$1,100.11$2,048.813.5×
american health plans12$140.4$624.94$1,109.477.9×
Anthem BCBS12$132.07$132.07$132.071.0×
6 degrees health12$1,036$1,747.28$2,458.562.4×
capital district physicians health plan (cdphp) 514912$334.66$630.58$926.52.8×
urn12$1,010.1$1,624.01$2,237.922.2×
partners health plan12$990.36$990.36$990.361.0×
vns12$990.36$1,725.41$2,460.452.5×
life pittsburgh12$127.64$618.56$1,109.478.7×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHAMPLAIN VALLEY PHYSICIANS HOSPITALPLATTSBURGHNY16$2,602$2,602$108.6$823.85$5,440.01
ELIZABETHTOWN COMMUNITY HOSPITALELIZABETHTOWNNY16$3,318$3,318$108.6$796.82$3,055.88
ALICE HYDE MEDICAL CENTERMALONENY12$3,723$3,723$108.6$496.34$9,020.04
FREDRICK FERRIS THOMPSON HOSPITALCANANDAIGUANY13$1,185$706.62$84$302.37$3,137.37
WESTFIELD MEMORIAL HOSPITALWESTFIELDNY15$383$84.26$111.7$267.54$2,130.18
STONY BROOK UNIVERSITY HOSPITALSTONY BROOKNY19$3,636.21$3,636.21$203.27$1,896.48$4,822
ST. JOSEPHS MEDICAL CENTERYONKERSNY15$5,162$990.36$990.36$1,546.45$5,536.01
NASSAU UNIVERSITY MEDICAL CENTEREAST MEADOWNY11$1,465$1,025.5$132.07$1,109.47$3,079
MEMORIAL HOSPITAL FOR CANCER AND ALLNEW YORKNY18$3,152$3,152$101$1,010.1$10,588
NYU LANGONE HOSPITALSNEW YORKNY0$1,464.39$278.23
EASTERN LONG ISLAND HOSPITALGREENPORTNY0$1,464.39$278.23

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.