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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
Max
$1,232.45
Range multiplier
2.5×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield534$92.7$1,274.22$3,940.9942.5×
UnitedHealthcare525$233.59$838$4,124.6417.7×
mvp319$108.61$853.43$3,644.1233.6×
capital district physicians' health plan316$340.8$1,391.29$3,260.949.6×
Cigna511$127.78$926.34$4,085.2532.0×
wellpath311$66$1,417.31$2,304.534.9×
First Health411$78$1,334.5$3,561.545.7×
Humana49$121.39$891.85$1,344.2711.1×
Aetna59$127.78$399.64$1,837.714.4×
Anthem BCBS28$127.78$502.79$1,259.119.9×
harvard pilgrim38$151.82$2,642.3$3,35222.1×
martins point37$350.7$929.01$2,113.846.0×
VA Health37$120$127.78$1,837.715.3×
fidelis care26$115$146.95$1,653.9314.4×
wellsense14$112.53$430.73$962.328.6×
Multiplan24$114$913.61$3,714.532.6×
nppn13$1,413$3,771$3,7712.7×
medical corporation13$114$568.1$3,714.532.6×
ebpa13$1,208.9$3,603.4$3,603.43.0×
tufts health plan13$313.21$313.21$313.211.0×
mvp healthcare13$127.78$899.36$1,259.119.9×
magnacare13$1,256$3,352$3,3522.7×
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$1,837.714.4×
WellCare12$134.17$539.25$944.337.0×
the vermont health plan11$721$721$7211.0×
hphc insurance company, inc.11$925$925$9251.0×
mvp health plan, inc.11$905$905$9051.0×
vermont health plan11$569.9$569.9$569.91.0×

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$796$720$915$945
PORTER HOSPITALMIDDLEBURYVT16$3,910$3,910$66$568.1$3,870.9
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT17$412$288.4$112.53$484.77$1,259.11
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$4,190$4,190$108.61$1,232.45$4,124.64
COPLEY HOSPITAL INC.MORRISVILLEVT0$1,121$896.8

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.