▸ Compare · PriceTransparency
Upper GI endoscopy with biopsy
CPT 43239 · negotiated-rate distribution across hospitals in WI
Hospitals
34
Min
$893.68
Median
$1,507.74
Max
$6,159
Range multiplier
6.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 73 | $124.37 | $2,976 | $8,190 | 65.9× |
| Anthem BCBS | 20 | 61 | $124.37 | $1,979 | $6,159 | 49.5× |
| wisconsin physician service | 12 | 36 | $2,883 | $3,035 | $3,035 | 1.1× |
| common ground | 12 | 36 | $2,450 | $2,727 | $2,727 | 1.1× |
| Medicare | 13 | 30 | $149.94 | $910.39 | $1,195.32 | 8.0× |
| Molina | 18 | 23 | $891.71 | $2,568 | $2,568 | 2.9× |
| VA Health | 10 | 20 | $901.33 | $910.39 | $952.75 | 1.1× |
| Cigna | 13 | 16 | $198.52 | $6,800 | $6,800 | 34.3× |
| aspirus | 1 | 13 | $124.37 | $618.8 | $2,656.09 | 21.4× |
| Humana | 6 | 13 | $130.59 | $1,484.73 | $1,484.73 | 11.4× |
| trilogy | 12 | 12 | $4,387 | $4,387 | $4,387 | 1.0× |
| aurora caregiver | 12 | 12 | $2,450 | $2,450 | $2,450 | 1.0× |
| smart health | 6 | 12 | $1,274.55 | $1,274.55 | $1,333.85 | 1.0× |
| everpointe elite | 12 | 12 | $2,153 | $2,153 | $2,153 | 1.0× |
| centivo | 12 | 12 | $3,169 | $3,169 | $3,169 | 1.0× |
| quartz group | 12 | 12 | $3,260 | $3,260 | $3,260 | 1.0× |
| quartz one | 12 | 12 | $2,790 | $2,790 | $2,790 | 1.0× |
| Blue Cross Blue Shield | 4 | 12 | $152.13 | $1,135.2 | $3,937 | 25.9× |
| Aetna | 12 | 12 | $3,119 | $3,119 | $3,119 | 1.0× |
| hs technology | 12 | 12 | $3,152 | $3,152 | $3,152 | 1.0× |
| health payment systems | 12 | 12 | $3,350 | $3,350 | $3,350 | 1.0× |
| network health plan | 5 | 7 | $218.45 | $891.71 | $4,326.41 | 19.8× |
| prevea 360 | 1 | 7 | $124.37 | $905.61 | $3,762.8 | 30.3× |
| wps | 6 | 6 | $1,438.7 | $1,438.7 | $1,438.7 | 1.0× |
| Medicaid | 2 | 6 | $161.39 | $1,239.31 | $2,395.6 | 14.8× |
| security health plan | 2 | 6 | $212.7 | $711.06 | $1,372.31 | 6.5× |
| mercy care | 1 | 5 | $248.15 | $618.8 | $1,469.7 | 5.9× |
| medica [900156] | 3 | 5 | $511.82 | $2,167.9 | $2,535 | 5.0× |
| First Health | 3 | 5 | $514.96 | $2,181.2 | $3,141.9 | 6.1× |
| WellCare | 2 | 4 | $946.4 | $946.4 | $946.4 | 1.0× |
| smarthealth | 2 | 4 | $1,261.86 | $1,261.86 | $1,261.86 | 1.0× |
| ma wisconsin replacement [950271] | 2 | 3 | $628 | $2,660 | $3,491 | 5.6× |
| healthpartners [900713] | 3 | 3 | $1,730.78 | $2,326.73 | $2,673.81 | 1.5× |
| alliance | 3 | 3 | $1,396.27 | $1,396.27 | $1,396.27 | 1.0× |
| illinicare | 1 | 2 | $124.37 | $514.99 | $905.61 | 7.3× |
| medical associates health plan | 1 | 2 | $412.91 | $1,003.29 | $1,593.66 | 3.9× |
| centivo nw3 | 2 | 2 | $1,357.99 | $1,357.99 | $1,357.99 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $893.68 | $2,809.84 | $4,726 | 5.3× |
| centivo nw1 | 2 | 2 | $1,357.99 | $1,357.99 | $1,357.99 | 1.0× |
| cchp | 2 | 2 | $777.06 | $777.06 | $777.06 | 1.0× |
| meridiancare | 1 | 2 | $130.59 | $518.1 | $905.61 | 6.9× |
| health partners open network | 1 | 2 | $289.14 | $952.47 | $1,615.79 | 5.6× |
| quartz | 2 | 2 | $893.68 | $1,137.43 | $1,381.17 | 1.5× |
| icare | 2 | 2 | $891.71 | $923.98 | $956.24 | 1.1× |
| health partners | 1 | 1 | $891.71 | $891.71 | $891.71 | 1.0× |
| allwell | 1 | 1 | $909.55 | $909.55 | $909.55 | 1.0× |
| group health cooperative of eau claire | 1 | 1 | $947.3 | $947.3 | $947.3 | 1.0× |
| veteran's administration (va ccn) | 1 | 1 | $893.68 | $893.68 | $893.68 | 1.0× |
| managed health services | 1 | 1 | $893.68 | $893.68 | $893.68 | 1.0× |
| security health plan (shp) | 1 | 1 | $893.68 | $893.68 | $893.68 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 6 | $2,660 | $1,386.92 | $149.94 | $961.26 | $2,673.81 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 4 | — | — | $952.75 | $952.75 | $1,438.7 |
| MOSH | FRANKLIN | WI | 4 | — | — | $910.39 | $910.39 | $1,438.7 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 4 | — | — | $910.39 | $910.39 | $1,438.7 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 4 | — | — | $910.39 | $910.39 | $1,438.7 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 4 | — | — | $910.39 | $910.39 | $1,438.7 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 4 | — | — | $910.39 | $910.39 | $1,438.7 |
| MERITER HOSPITAL INC. | MADISON | WI | 14 | $4,426.82 | $3,541.46 | $124.37 | $905.61 | $5,169 |
| MERCY MEDICAL CENTER | OSHKOSH | WI | 9 | — | — | $143.11 | $901.33 | $1,892.79 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 9 | — | — | $143.11 | $901.33 | $1,892.79 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 10 | — | — | $891.71 | $900.63 | $6,312 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 11 | — | — | $893.68 | $893.68 | $5,571 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 2 | — | — | $5,749 | $6,159 | $8,190 |
| SSH - FOX VALLEY | OSHKOSH | WI | 2 | — | — | $5,749 | $6,159 | $8,190 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 2 | — | — | $5,749 | $6,159 | $8,190 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 15 | — | — | $2,020 | $2,976 | $6,800 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 15 | — | — | $1,979 | $2,976 | $6,800 |
| HUDSON HOSPITAL | HUDSON | WI | 8 | $3,491 | $1,574.79 | $1,135.2 | $1,507.74 | $3,912 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 4 | $4,375 | $2,318.75 | $218.45 | $1,484.73 | $1,484.73 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 7 | — | — | $218.45 | $1,440.5 | $2,007.94 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 7 | $4,375 | $2,318.75 | $218.45 | $1,440.5 | $2,007.94 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 8 | $2,660 | $1,399.16 | $149.94 | $1,090.6 | $2,660 |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $8,040 | $4,824 | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $8,040 | $4,824 | — | — | — |
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.