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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$273.96 – $793.09

Negotiated median

$402.46

CPT 43239 Upper GI endoscopy with biopsy · Showing 99 of 99 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
GREATER BALTIMORE MEDICAL CENTER	MD	Chargemaster	N/A	outpatient	gross	$766
GREATER BALTIMORE MEDICAL CENTER	MD	Chargemaster	N/A	inpatient	gross	$766
GREATER BALTIMORE MEDICAL CENTER	MD	Cash pay	N/A	outpatient	cash	$766
GREATER BALTIMORE MEDICAL CENTER	MD	Cash pay	N/A	inpatient	cash	$766
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$793.09
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$729.3
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$615.76
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$615.76
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$567.47
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$567.47
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$553.27
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$553.27
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$539.3
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$539.3
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$523.2
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$523.2
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$519.73
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$519.73
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$511.89
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$511.89
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$477.92
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$477.92
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$453.67
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$453.67
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$342.39
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$342.39
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$287.66
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$287.66
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$279.44
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$279.44
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	inpatient	min	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Min]	—	outpatient	min	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS	inpatient	negotiated	$793.09
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS	inpatient	negotiated	$729.3
GREATER BALTIMORE MEDICAL CENTER	MD	usa managed care organization [301]	PB USA MANAGED CARE	outpatient	negotiated	$615.76
GREATER BALTIMORE MEDICAL CENTER	MD	usa managed care organization [301]	PB USA MANAGED CARE	inpatient	negotiated	$615.76
GREATER BALTIMORE MEDICAL CENTER	MD	Kaiser Permanente	PB Kaiser Reimbursement Contract	outpatient	negotiated	$567.47
GREATER BALTIMORE MEDICAL CENTER	MD	Kaiser Permanente	PB Kaiser Reimbursement Contract	inpatient	negotiated	$567.47
GREATER BALTIMORE MEDICAL CENTER	MD	UnitedHealthcare	PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON FACILITY	outpatient	negotiated	$553.27
GREATER BALTIMORE MEDICAL CENTER	MD	UnitedHealthcare	PB UNITED COMMERCIAL MAMSI AND NON OPTIONS FACILITY AND NON FACILITY	inpatient	negotiated	$553.27
GREATER BALTIMORE MEDICAL CENTER	MD	johns hopkins [213]	PB Johns Hopkins (Employer Health Plan)	outpatient	negotiated	$539.3
GREATER BALTIMORE MEDICAL CENTER	MD	johns hopkins [213]	PB Johns Hopkins (Employer Health Plan)	inpatient	negotiated	$539.3
GREATER BALTIMORE MEDICAL CENTER	MD	Multiplan	PB MULTIPLAN INSURANCES	outpatient	negotiated	$523.2
GREATER BALTIMORE MEDICAL CENTER	MD	First Health	PB FIRST HEALTH (AETNA)	inpatient	negotiated	$523.2
GREATER BALTIMORE MEDICAL CENTER	MD	First Health	PB FIRST HEALTH (AETNA)	outpatient	negotiated	$523.2
GREATER BALTIMORE MEDICAL CENTER	MD	Multiplan	PB MULTIPLAN INSURANCES	inpatient	negotiated	$523.2
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS	outpatient	negotiated	$519.73
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST RPN FAC AND NON FACILITY SPECIALISTS	inpatient	negotiated	$519.73
GREATER BALTIMORE MEDICAL CENTER	MD	Cigna	PB CIGNA COMMERCIAL	inpatient	negotiated	$511.89
GREATER BALTIMORE MEDICAL CENTER	MD	Cigna	PB CIGNA COMMERCIAL	outpatient	negotiated	$511.89
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS	inpatient	negotiated	$477.92
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST BC FACILITY AND NON FACILITY SPECIALISTS	outpatient	negotiated	$477.92
GREATER BALTIMORE MEDICAL CENTER	MD	Aetna	PB Aetna Commercial Reimbursement Contract	outpatient	negotiated	$453.67
GREATER BALTIMORE MEDICAL CENTER	MD	Aetna	PB Aetna Commercial Reimbursement Contract	inpatient	negotiated	$453.67
GREATER BALTIMORE MEDICAL CENTER	MD	johns hopkins [213]	PB Johns Hopkins US Family Health Plan	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	keycare advantage [299]	PB KEYCARE ADVANTAGE	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Humana	PB HUMANA MEDICARE ADVANTAGE	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Humana	PB HUMANA MEDICARE ADVANTAGE	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	keycare advantage [299]	PB KEYCARE ADVANTAGE	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Medicare	PB MEDICARE REIMBURSEMENT	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	communicare advantage [300]	PB COMMUNICARE ADVANTAGE	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	communicare advantage [300]	PB COMMUNICARE ADVANTAGE	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Cigna	PB CIGNA HEALTHSPRING-MEDICARE	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Cigna	PB CIGNA HEALTHSPRING-MEDICARE	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Medicare	PB MEDICARE REIMBURSEMENT	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Multiplan	PB MULTIPLAN INSURANCES	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	provider partners health plan [298]	PB PROVIDER PARTNERS HEALTH PLAN	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	provider partners health plan [298]	PB PROVIDER PARTNERS HEALTH PLAN	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	johns hopkins [213]	PB Johns Hopkins US Family Health Plan	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	johns hopkins [213]	PB Johns Hopkins Advantage Medicare	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	UnitedHealthcare	PB UNITED MEDICARE FAC AND NON FACILITY	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	cfchp mco [239]	PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVANTAGE	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST MEDICARE ADVANTAGE PPO	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Blue Cross Blue Shield	PB CAREFIRST MEDICARE ADVANTAGE PPO	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	cfchp mco [239]	PB CAREFIRST COMMUNITY HEALTH PLAN OF MARYLAND MEDICARE ADVANTAGE	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	johns hopkins [213]	PB Johns Hopkins Advantage Medicare	outpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	UnitedHealthcare	PB UNITED MEDICARE FAC AND NON FACILITY	inpatient	negotiated	$402.46
GREATER BALTIMORE MEDICAL CENTER	MD	Aetna	PB Aetna Medicare Reimbursement Contract	inpatient	negotiated	$342.39
GREATER BALTIMORE MEDICAL CENTER	MD	Aetna	PB Aetna Medicare Reimbursement Contract	outpatient	negotiated	$342.39
GREATER BALTIMORE MEDICAL CENTER	MD	jai medical services [236]	PB JAI MEDICAL SYSTEMS	inpatient	negotiated	$287.66
GREATER BALTIMORE MEDICAL CENTER	MD	jai medical services [236]	PB JAI MEDICAL SYSTEMS	outpatient	negotiated	$287.66
GREATER BALTIMORE MEDICAL CENTER	MD	alterwood health [290]	PB ALTERWOOD ADVANTAGE CHOICE	inpatient	negotiated	$279.44
GREATER BALTIMORE MEDICAL CENTER	MD	alterwood health [290]	PB ALTERWOOD ADVANTAGE CHOICE	outpatient	negotiated	$279.44
GREATER BALTIMORE MEDICAL CENTER	MD	wellpoint [235]	PB WELLPOINT	outpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	Aetna	PB AETNA BETTER HEALTH OF MARYLAND	inpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	Aetna	PB AETNA BETTER HEALTH OF MARYLAND	outpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	md physician care [237]	PB MARYLAND PHYSICIANS CARE	inpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	md physician care [237]	PB MARYLAND PHYSICIANS CARE	outpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	Medicaid	PB MEDICAID FACILITY AND NON FACILITY	inpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	Medicaid	PB MEDICAID FACILITY AND NON FACILITY	outpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	priority partners [241]	PB Johns Hopkins Priority Partners	inpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	priority partners [241]	PB Johns Hopkins Priority Partners	outpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	UnitedHealthcare	PB United Community Care Reimbursement Contract	inpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	UnitedHealthcare	PB United Community Care Reimbursement Contract	outpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	wellpoint [235]	PB WELLPOINT	inpatient	negotiated	$273.96
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Max]	—	outpatient	max	$766
GREATER BALTIMORE MEDICAL CENTER	MD	[De-identified Max]	—	inpatient	max	$766

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).