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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in OK

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Hospitals
11
Min
$370.51
Median
$2,212.17
Max
$3,931.73
Range multiplier
10.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield432$370.51$1,772.26$3,949.6410.7×
healthcare highways [2210]629$943.5$1,714.47$3,931.734.2×
First Health814$69$1,611.33$4,459.9864.6×
Aetna412$69$951.99$1,690.6524.5×
Cigna812$70$1,266.8$3,668.1152.4×
Multiplan810$90$2,967.33$4,459.9849.6×
community care29$70$1,046.63$1,744.6224.9×
Oscar Health89$46$1,114.25$2,494.7554.2×
healthcare highways38$25$624.48$1,292.8551.7×
Humana38$69$951.99$1,077.5815.6×
pba [1775]77$1,486.96$2,802.46$4,969.543.3×
hooray health [8000]66$943.5$1,396.25$2,494.752.6×
oncology patient assistance programs [2295]66$943.5$1,396.25$2,494.752.6×
UnitedHealthcare46$872.31$2,095.43$3,914.764.5×
web tpa [2115]66$1,495.73$1,963.32$3,931.732.6×
resource one administrators [2815]55$1,495.73$2,212.17$3,931.732.6×
osma health network [2345]55$943.5$1,359.75$2,494.752.6×
pending ssi [1616]55$4,457$5,439$5,7341.3×
the kempton group administrators [2905]55$1,698.3$2,447.55$4,490.552.6×
black lung [6055]55$1,114.25$1,432.75$2,494.752.2×
lucent health [6000]55$1,114.25$1,432.75$2,494.752.2×
medica [2910]55$2,222.89$3,255.21$5,638.142.5×
national association of letter carriers [1695]55$1,486.96$2,572.31$2,803.931.9×
healthpartners [1500]44$2,561.77$2,688.12$3,668.111.4×
preferred community choice34$76$1,136.34$1,829.8824.1×
Medicare24$872.31$872.31$872.311.0×
healthsmart [1505]33$3,989.9$4,623.15$4,873.91.2×
the kempton group23$2,180.78$2,180.78$2,180.781.0×
sana benefits23$65$971.87$971.8715.0×
manhattan life23$69$1,031.67$1,031.6715.0×
global health23$63$941.96$941.9615.0×
global health [1430]33$2,763.34$2,910.28$3,555.081.3×
webtpa chickasaw nation hch23$47$702.73$702.7315.0×
healthscope23$46$687.78$687.7815.0×
ufcw23$65$971.87$971.8715.0×
phcs23$70$1,046.63$1,046.6315.0×
va ccn23$872.31$872.31$872.311.0×
webtpa hobby lobby hch23$53$792.45$792.4515.0×
Medicare Advantage23$898.48$898.48$898.481.0×
healthcare solutions [1485]33$3,100.23$3,332.74$4,071.141.3×
Ambetter23$1,221.24$1,221.24$1,221.241.0×
phcs [1780]12$4,296.81$4,378.4$4,459.981.0×
beacon health options behavioral health [2890]22$2,763.34$3,527.16$4,290.971.6×
universal fidelity [2085]22$2,897.05$3,678.52$4,459.981.5×
oklahoma health network (ohn)11$1,591.2$1,591.2$1,591.21.0×
community care [1290]11$4,296.81$4,296.81$4,296.811.0×
employee benefit management services [2445]11$4,296.81$4,296.81$4,296.811.0×
fmh benefit services [1390]11$4,296.81$4,296.81$4,296.811.0×
friday health plan11$1,159.98$1,159.98$1,159.981.0×
GEHA11$926.63$926.63$926.631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
OKLAHOMA HEART HOSPITALOKLAHOMA CITYOK25$1,495.18$10,319$25$897.8$2,180.78
HILLCREST HOSPITAL CLAREMORECLAREMOREOK14$9,979$2,993.7$2,494.75$3,931.73$5,638.14
NOWATA HEALTH CENTERNOWATAOK3$158.31$370.51$370.51
BAILEY MEDICAL CENTEROWASSOOK37$5,439$1,631.7$1,359.75$3,698.52$5,439
HILLCREST HOSPITAL PRYORPRYOROK20$4,457$1,337.1$1,114.25$2,897.05$4,457
HILLCREST HOSPITAL CUSHINGCUSHINGOK18$5,734$1,720.2$1,433.5$2,803.93$5,734
HILLCREST HOSPITAL HENRYETTAHENRYETTAOK12$4,694$1,408.2$1,173.5$2,741.3$4,694
HILLCREST MEDICAL CENTERTULSAOK15$5,731$1,719.3$1,432.75$2,212.17$5,731
JEFFERSON COUNTY HOSPITALWAURIKAOK13$1,989$698.13$835.38$1,790.1$3,949.64
HILLCREST HOSPITAL SOUTHTULSAOK13$3,774$1,132.2$943.5$1,622.82$2,222.89
OKLAHOMA HEART HOSPITAL SOUTHOKLAHOMA CITYOK24$1,495.18$523.31$373.8$1,031.67$2,180.78

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.