▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in SC
Hospitals
14
Min
$312.51
Median
$1,796.14
Max
$2,520.32
Range multiplier
8.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 74 | $101.00 | $124.84 | $358.22 | 3.5× |
| Blue Cross Blue Shield | 5 | 72 | $101.00 | $414.00 | $3,249.48 | 32.2× |
| UnitedHealthcare | 9 | 68 | $91.99 | $848.96 | $12,538 | 136.3× |
| Medicare | 1 | 44 | $129.25 | $248.44 | $386.04 | 3.0× |
| Aetna | 8 | 41 | $29.10 | $65.50 | $1,875.69 | 64.5× |
| no fault [114001] | 1 | 28 | $603.54 | $603.54 | $603.54 | 1.0× |
| Humana | 8 | 26 | $137.98 | $899.41 | $1,902.87 | 13.8× |
| Molina | 4 | 24 | $227.25 | $829.22 | $1,476.25 | 6.5× |
| univera healthcare [100169] | 1 | 18 | $112.88 | $239.26 | $628.47 | 5.6× |
| Cigna | 4 | 15 | $25.20 | $358.22 | $8,104.00 | 321.6× |
| independent health [100165] | 1 | 14 | $204.45 | $380.90 | $557.34 | 2.7× |
| select health | 3 | 12 | $885.75 | $1,112.40 | $1,889.60 | 2.1× |
| absolute total care | 3 | 12 | $843.57 | $1,117.73 | $1,406.00 | 1.7× |
| WellCare | 1 | 10 | $137.98 | $260.34 | $394.04 | 2.9× |
| fidelis essential [100163] | 1 | 6 | $144.55 | $233.48 | $429.87 | 3.0× |
| amerigroup [350102] | 1 | 6 | $101.00 | $227.83 | $354.66 | 3.5× |
| beacon essential [350122] | 1 | 6 | $118.27 | $157.69 | $157.69 | 1.3× |
| clover insurance company | 3 | 6 | $877.31 | $877.31 | $877.31 | 1.0× |
| federal workers compensation [500100] | 1 | 6 | $603.54 | $603.54 | $603.54 | 1.0× |
| independent health essential [100166] | 1 | 6 | $101.00 | $227.83 | $354.66 | 3.5× |
| TRICARE | 1 | 6 | $131.41 | $244.82 | $358.22 | 2.7× |
| univera healthcare essential [100170] | 1 | 6 | $112.88 | $212.70 | $312.51 | 2.8× |
| VA Health | 1 | 6 | $118.27 | $238.25 | $358.22 | 3.0× |
| devoted health | 2 | 4 | $843.57 | $843.57 | $843.57 | 1.0× |
| fidelis dual advantage [450120] | 1 | 4 | $137.98 | $257.06 | $376.13 | 2.7× |
| hospice [550001] | 1 | 4 | $131.41 | $244.82 | $358.22 | 2.7× |
| iha first choice [800001] | 1 | 4 | $204.45 | $380.90 | $557.34 | 2.7× |
| medcost - sc | 3 | 3 | $50.44 | $56.53 | $58.51 | 1.2× |
| plotkin health | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| Multiplan | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| phcs | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| fidelis exchange [100164] | 1 | 2 | $157.69 | $293.78 | $429.87 | 2.7× |
| devoted health plan | 1 | 2 | $843.57 | $843.57 | $843.57 | 1.0× |
| upmc health plan [100181] | 1 | 2 | $236.54 | $305.30 | $374.05 | 1.6× |
| crime victims [100176] | 1 | 2 | $101.00 | $227.83 | $354.66 | 3.5× |
| covid19 hrsa [45013] | 1 | 2 | $131.41 | $244.82 | $358.22 | 2.7× |
| champ va [700002] | 1 | 2 | $131.41 | $244.82 | $358.22 | 2.7× |
| mvp healthcare [100168] | 1 | 2 | $172.11 | $313.96 | $455.81 | 2.6× |
| catholic health life pace [400005] | 1 | 2 | $131.41 | $244.82 | $358.22 | 2.7× |
| tuscarora nation [550120] | 1 | 2 | $101.00 | $227.83 | $354.66 | 3.5× |
| blue choice | 1 | 2 | $1,660.42 | $2,075.53 | $2,490.63 | 1.5× |
| beacon health options [100023] | 1 | 2 | $157.69 | $157.69 | $157.69 | 1.0× |
| fallon health [450115] | 1 | 2 | $131.41 | $244.82 | $358.22 | 2.7× |
| vna option mltc [350110] | 1 | 2 | $101.00 | $227.83 | $354.66 | 3.5× |
| excellus rochester mcd [350117] | 1 | 2 | $101.00 | $227.83 | $354.66 | 3.5× |
| ghi [100153] | 1 | 2 | $144.55 | $269.30 | $394.05 | 2.7× |
| seneca nation [450119] | 1 | 2 | $131.41 | $244.82 | $358.22 | 2.7× |
| nhc advantage | 1 | 1 | $2,550.00 | $2,550.00 | $2,550.00 | 1.0× |
| Meritain Health | 1 | 1 | $358.22 | $358.22 | $358.22 | 1.0× |
| pruitt health | 1 | 1 | $2,550.00 | $2,550.00 | $2,550.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| East Cooper Regional Medical Center | Mt. Pleasant | SC | 14 | — | $832.93 | $36.90 | $864.66 | $8,579.00 |
| Coastal Carolina Medical Center | Hardeeville | SC | 14 | — | $832.93 | $25.20 | $852.01 | $12,403 |
| Hilton Head Hospital | Hilton Head Island | SC | 14 | — | $832.93 | $32.20 | $852.01 | $12,538 |
| Mary Black Memorial Hospital | Spartanburg | SC | 39 | $1,657.00 | $772.60 | $91.99 | $312.51 | $797.99 |
| Colleton Medical Center | Walterboro | SC | 8 | — | — | $814.62 | $2,520.32 | $6,342.00 |
| Roper St. Francis Hospital-Berkeley | Summerville | SC | 3 | $11,744 | $7,046.45 | $856.58 | $1,812.26 | $1,902.87 |
| Roper Hospital Inc. | Charleston | SC | 3 | $11,744 | $7,046.45 | $856.58 | $1,812.26 | $1,902.87 |
| Bon Secours St. Francis Xavier Hospi | Charleston | SC | 3 | $15,296 | $9,177.86 | $848.96 | $1,796.14 | $1,885.95 |
| Roper St. Francis Mt Pleasant Hospit | Mt. Pleasant | SC | 3 | $15,296 | $9,177.86 | $848.96 | $1,796.14 | $1,885.95 |
| Mcleod Health Cheraw | Cheraw | SC | 0 | — | — | — | — | — |
| Mcleod Health Clarendon | Manning | SC | 0 | — | — | — | — | — |
| Mcleod Medical Center - Dillon | Dillon | SC | 0 | — | — | — | — | — |
| Mcleod Loris Seacoast Hospital | Loris | SC | 0 | — | — | — | — | — |
| Mcleod Regional Medical Center | Florence | SC | 0 | — | — | — | — | — |
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.