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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

$119.31 – $4,444.25

Negotiated median

$1,899.76

CPT 43239 Upper GI endoscopy with biopsy · Showing 50 of 50 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
FRANKLIN MEMORIAL HOSPITAL	ME	Chargemaster	N/A	outpatient	gross	$3,323
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	Chargemaster	N/A	both	gross	$1,483
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	Chargemaster	N/A	both	gross	$1,351
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	Chargemaster	N/A	both	gross	$812
FRANKLIN MEMORIAL HOSPITAL	ME	Cash pay	N/A	outpatient	cash	$1,163.05
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	Cash pay	N/A	both	cash	$1,112.25
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	Cash pay	N/A	both	cash	$1,013.25
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	Cash pay	N/A	both	cash	$609
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	[De-identified Min]	—	both	min	$830.48
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	[De-identified Min]	—	both	min	$756.56
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	[De-identified Min]	—	both	min	$454.72
FRANKLIN MEMORIAL HOSPITAL	ME	[De-identified Min]	—	outpatient	min	$119.31
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Commercial	outpatient	negotiated	$4,444.25
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Exchange	outpatient	negotiated	$3,999.86
FRANKLIN MEMORIAL HOSPITAL	ME	gateway - tier 1	Commercial	outpatient	negotiated	$3,156.85
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - secondary payors	Commercial	outpatient	negotiated	$3,156.85
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - link	Commercial	outpatient	negotiated	$2,990.7
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	outpatient	negotiated	$2,716.22
FRANKLIN MEMORIAL HOSPITAL	ME	vhn	Commercial	outpatient	negotiated	$2,658.4
FRANKLIN MEMORIAL HOSPITAL	ME	gateway - tier 2	Commercial	outpatient	negotiated	$2,658.4
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - plus	Commercial	outpatient	negotiated	$2,558.71
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	outpatient	negotiated	$2,394.55
FRANKLIN MEMORIAL HOSPITAL	ME	Cigna	Commercial	outpatient	negotiated	$2,392.56
FRANKLIN MEMORIAL HOSPITAL	ME	connecticare	Commercial	outpatient	negotiated	$2,326.1
FRANKLIN MEMORIAL HOSPITAL	ME	Cigna	Commercial	outpatient	negotiated	$2,239.7
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Commercial	outpatient	negotiated	$2,206.47
FRANKLIN MEMORIAL HOSPITAL	ME	sentara health plan	Commercial	outpatient	negotiated	$2,060.26
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - ultra	Commercial	outpatient	negotiated	$2,060.26
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	outpatient	negotiated	$1,899.76
FRANKLIN MEMORIAL HOSPITAL	ME	gateway - tier 3	Commercial	outpatient	negotiated	$1,827.65
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Choice POS II	outpatient	negotiated	$1,721.31
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Commercial	outpatient	negotiated	$1,691.41
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	outpatient	negotiated	$1,664.82
FRANKLIN MEMORIAL HOSPITAL	ME	sentara health plan	Medicare Advantage	outpatient	negotiated	$889.47
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Medicare Advantage	outpatient	negotiated	$872.52
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$872.52
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Medicare Advantage	outpatient	negotiated	$864.05
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$864.05
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Dual Eligible	outpatient	negotiated	$830.17
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Medicare Advantage	outpatient	negotiated	$796.28
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$352.61
FRANKLIN MEMORIAL HOSPITAL	ME	First Health	Managed Medicaid	outpatient	negotiated	$352.61
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Managed Medicaid	outpatient	negotiated	$352.61
FRANKLIN MEMORIAL HOSPITAL	ME	sentara health plan	Managed Medicaid	outpatient	negotiated	$342.99
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$336.58
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Tricare	outpatient	negotiated	$119.31
FRANKLIN MEMORIAL HOSPITAL	ME	[De-identified Max]	—	outpatient	max	$4,444.25
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	[De-identified Max]	—	both	max	$1,483
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	[De-identified Max]	—	both	max	$1,351
REDINGTON-FAIRVIEW GENERAL HOSPITAL	ME	[De-identified Max]	—	both	max	$812

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).