▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in SD
Hospitals
2
Min
$3,902.63
Median
$5,677
Max
$5,677
Range multiplier
1.5×
By payer (32 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| TRICARE | 1 | 9 | $926 | $926 | $926 | 1.0× |
| Blue Cross Blue Shield | 2 | 8 | $926 | $2,672 | $5,677 | 6.1× |
| UnitedHealthcare | 2 | 6 | $926 | $3,902.63 | $5,677 | 6.1× |
| medica (commercial) 94265 [3081118] | 1 | 3 | $5,436.4 | $5,436.4 | $5,436.4 | 1.0× |
| Humana | 2 | 3 | $926 | $5,677 | $5,894.89 | 6.4× |
| healthpartners [3081368] | 1 | 3 | $926 | $926 | $926 | 1.0× |
| govt employees health assn [3081090] | 1 | 3 | $3,902.63 | $3,902.63 | $3,902.63 | 1.0× |
| Cigna | 1 | 3 | $4,384.31 | $4,384.31 | $4,384.31 | 1.0× |
| Aetna | 1 | 3 | $5,894.89 | $5,894.89 | $5,894.89 | 1.0× |
| Meritain Health | 1 | 2 | $4,384.31 | $4,384.31 | $4,384.31 | 1.0× |
| Medicare | 2 | 2 | $926 | $3,301.5 | $5,677 | 6.1× |
| national telephone cooperative assn 52103 [3081149] | 1 | 2 | $3,902.63 | $3,902.63 | $3,902.63 | 1.0× |
| risk admin svs [3081167] | 1 | 2 | $3,238.12 | $3,238.12 | $3,238.12 | 1.0× |
| key benefit administrators [3081332] | 1 | 1 | $4,384.31 | $4,384.31 | $4,384.31 | 1.0× |
| employee benefit management 12x44 [3081079] | 1 | 1 | $5,567.41 | $5,567.41 | $5,567.41 | 1.0× |
| allied benefit systems inc [3081320] | 1 | 1 | $4,384.31 | $4,384.31 | $4,384.31 | 1.0× |
| coresource 38225 [3081146] | 1 | 1 | $4,257.43 | $4,257.43 | $4,257.43 | 1.0× |
| midlands choice 47080 [3081136] | 1 | 1 | $4,384.31 | $4,384.31 | $4,384.31 | 1.0× |
| minnesota health care programs 12k16 [3081295] | 1 | 1 | $1,984.62 | $1,984.62 | $1,984.62 | 1.0× |
| Multiplan | 1 | 1 | $3,327.16 | $3,327.16 | $3,327.16 | 1.0× |
| va black hills health care system 12115 [3081206] | 1 | 1 | $926 | $926 | $926 | 1.0× |
| pacificsource health plans [3081333] | 1 | 1 | $5,567.41 | $5,567.41 | $5,567.41 | 1.0× |
| preferred one 41147 [3081160] | 1 | 1 | $4,384.31 | $4,384.31 | $4,384.31 | 1.0× |
| va ccn optum [3081339] | 1 | 1 | $926 | $926 | $926 | 1.0× |
| rocky mountain admin llc 83028 [3081168] | 1 | 1 | $5,239.9 | $5,239.9 | $5,239.9 | 1.0× |
| sanford health plan 91184 [3081174] | 1 | 1 | $5,447.89 | $5,447.89 | $5,447.89 | 1.0× |
| surest [3081369] | 1 | 1 | $3,902.63 | $3,902.63 | $3,902.63 | 1.0× |
| tlc advantage llc [3081189] | 1 | 1 | $6,156.89 | $6,156.89 | $6,156.89 | 1.0× |
| avera health plans 46045 [3081018] | 1 | 1 | $4,449.11 | $4,449.11 | $4,449.11 | 1.0× |
| health partners sx009 [3081102] | 1 | 1 | $3,528.09 | $3,528.09 | $3,528.09 | 1.0× |
| group and pension administrators inc [3081098] | 1 | 1 | $3,327.16 | $3,327.16 | $3,327.16 | 1.0× |
| fedmed inc [3081283] | 1 | 1 | $6,222.4 | $6,222.4 | $6,222.4 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MONUMENT HEALTH SPEARFISH HOSPITAL | SPEARFISH | SD | 4 | $13,204 | $6,911.01 | $2,665 | $5,677 | $5,677 |
| MONUMENT HEALTH RAPID CITY HOSPITAL | RAPID CITY | SD | 32 | $6,549.88 | $6,549.88 | $926 | $3,902.63 | $6,222.4 |
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.