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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$312.51
Median
$1,796.14
Max
$2,520.32
Range multiplier
8.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$101$124.84$358.223.5×
Blue Cross Blue Shield572$101$414$3,249.4832.2×
UnitedHealthcare968$91.99$848.96$12,538136.3×
Medicare144$129.25$248.44$386.043.0×
Aetna841$29.1$65.5$1,875.6964.5×
no fault [114001]128$603.54$603.54$603.541.0×
Humana826$137.98$899.41$1,902.8713.8×
Molina424$227.25$829.22$1,476.256.5×
univera healthcare [100169]118$112.88$239.26$628.475.6×
Cigna415$25.2$358.22$8,104321.6×
independent health [100165]114$204.45$380.9$557.342.7×
select health312$885.75$1,112.4$1,889.62.1×
absolute total care312$843.57$1,117.73$1,4061.7×
WellCare110$137.98$260.34$394.042.9×
fidelis essential [100163]16$144.55$233.48$429.873.0×
amerigroup [350102]16$101$227.83$354.663.5×
beacon essential [350122]16$118.27$157.69$157.691.3×
clover insurance company36$877.31$877.31$877.311.0×
federal workers compensation [500100]16$603.54$603.54$603.541.0×
independent health essential [100166]16$101$227.83$354.663.5×
TRICARE16$131.41$244.82$358.222.7×
univera healthcare essential [100170]16$112.88$212.7$312.512.8×
VA Health16$118.27$238.25$358.223.0×
devoted health24$843.57$843.57$843.571.0×
fidelis dual advantage [450120]14$137.98$257.06$376.132.7×
hospice [550001]14$131.41$244.82$358.222.7×
iha first choice [800001]14$204.45$380.9$557.342.7×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60$60$601.0×
Multiplan33$90$90$901.0×
phcs33$90$90$901.0×
fidelis exchange [100164]12$157.69$293.78$429.872.7×
devoted health plan12$843.57$843.57$843.571.0×
upmc health plan [100181]12$236.54$305.3$374.051.6×
crime victims [100176]12$101$227.83$354.663.5×
covid19 hrsa [45013]12$131.41$244.82$358.222.7×
champ va [700002]12$131.41$244.82$358.222.7×
mvp healthcare [100168]12$172.11$313.96$455.812.6×
catholic health life pace [400005]12$131.41$244.82$358.222.7×
tuscarora nation [550120]12$101$227.83$354.663.5×
blue choice12$1,660.42$2,075.53$2,490.631.5×
beacon health options [100023]12$157.69$157.69$157.691.0×
fallon health [450115]12$131.41$244.82$358.222.7×
vna option mltc [350110]12$101$227.83$354.663.5×
excellus rochester mcd [350117]12$101$227.83$354.663.5×
ghi [100153]12$144.55$269.3$394.052.7×
seneca nation [450119]12$131.41$244.82$358.222.7×
nhc advantage11$2,550$2,550$2,5501.0×
Meritain Health11$358.22$358.22$358.221.0×
pruitt health11$2,550$2,550$2,5501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$832.93$36.9$864.66$8,579
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$832.93$25.2$852.01$12,403
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$832.93$32.2$852.01$12,538
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC39$1,657$772.6$91.99$312.51$797.99
COLLETON MEDICAL CENTERWALTERBOROSC8$814.62$2,520.32$6,342
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC3$11,744$7,046.45$856.58$1,812.26$1,902.87
ROPER HOSPITAL INC.CHARLESTONSC3$11,744$7,046.45$856.58$1,812.26$1,902.87
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC3$15,296$9,177.86$848.96$1,796.14$1,885.95
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC3$15,296$9,177.86$848.96$1,796.14$1,885.95
MCLEOD HEALTH CHERAWCHERAWSC0
MCLEOD HEALTH CLARENDONMANNINGSC0
MCLEOD MEDICAL CENTER - DILLONDILLONSC0
MCLEOD LORIS SEACOAST HOSPITALLORISSC0
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0

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.