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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$484.77
Median
$915.00
Max
$1,232.45
Range multiplier
2.5×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield534$92.70$1,274.22$3,940.9942.5×
UnitedHealthcare525$233.59$838.00$4,124.6417.7×
mvp319$108.61$853.43$3,644.1233.6×
capital district physicians' health plan316$340.80$1,391.29$3,260.949.6×
Cigna511$127.78$926.34$4,085.2532.0×
wellpath311$66.00$1,417.31$2,304.5034.9×
First Health411$78.00$1,334.50$3,561.5045.7×
Humana49$121.39$891.85$1,344.2711.1×
Aetna59$127.78$399.64$1,837.7014.4×
Anthem BCBS28$127.78$502.79$1,259.119.9×
harvard pilgrim38$151.82$2,642.30$3,352.0022.1×
martins point37$350.70$929.01$2,113.846.0×
VA Health37$120.00$127.78$1,837.7015.3×
fidelis care26$115.00$146.95$1,653.9314.4×
wellsense14$112.53$430.73$962.328.6×
Multiplan24$114.00$913.61$3,714.5032.6×
nppn13$1,413.00$3,771.00$3,771.002.7×
medical corporation13$114.00$568.10$3,714.5032.6×
ebpa13$1,208.90$3,603.40$3,603.403.0×
tufts health plan13$313.21$313.21$313.211.0×
mvp healthcare13$127.78$899.36$1,259.119.9×
magnacare13$1,256.00$3,352.00$3,352.002.7×
martin's point12$127.78$513.57$899.367.0×
amerihealth-caritas12$112.53$418.63$724.736.4×
new hampshire healthy families12$112.53$418.63$724.736.4×
st. regis12$127.78$536.33$944.877.4×
harvard pilgrim health care12$127.78$513.57$899.367.0×
veterans choice12$127.78$982.74$1,837.7014.4×
WellCare12$134.17$539.25$944.337.0×
the vermont health plan11$721.00$721.00$721.001.0×
hphc insurance company, inc.11$925.00$925.00$925.001.0×
mvp health plan, inc.11$905.00$905.00$905.001.0×
vermont health plan11$569.90$569.90$569.901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Central Vermont HospitalBarreVT12$3,302.88$3,302.88$125.22$929.01$3,283.06
Mt Ascutney Hospital And Health CentWindsorVT8$995.00$796.00$720.00$915.00$945.00
Porter HospitalMiddleburyVT16$3,910.00$3,910.00$66.00$568.10$3,870.90
Brattleboro Memorial HospitalBrattleboroVT17$412.00$288.40$112.53$484.77$1,259.11
University Of Vermont Medical CenterBurlingtonVT17$4,190.00$4,190.00$108.61$1,232.45$4,124.64
Copley Hospital Inc.MorrisvilleVT0$1,121.00$896.80

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.