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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

Rate type

Hospitals

Payers

Negotiated range

$506.00 – $2,491.15

Negotiated median

$1,155.45

CPT 43239 Upper GI endoscopy with biopsy · Showing 200 of 268 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Webster County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$9,769.19
Webster County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$9,453.21
Webster County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$6,709.70
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$5,514.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,913.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,304.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,121.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,863.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,828.00
United Hospital Center	WV	Chargemaster	N/A	outpatient	gross	$2,693.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,693.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$2,465.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$2,229.34
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,168.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$2,064.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$1,975.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,885.34
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,874.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,855.62
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,838.67
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,678.67
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,638.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,552.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$1,525.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,349.33
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,296.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,248.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,244.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$1,140.25
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,092.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,070.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$1,037.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,001.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$994.33
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$967.34
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$938.66
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$880.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$858.66
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$793.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$756.66
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$718.66
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$705.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$606.66
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$567.66
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$535.25
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$460.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$427.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$333.66
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$325.33
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$307.50
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$300.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$176.66
Webster County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$9,769.19
Webster County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$9,453.21
Webster County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$6,709.70
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$2,757.00
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$1,975.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,956.50
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,652.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$1,560.50
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,431.50
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,414.00
United Hospital Center	WV	Cash pay	N/A	outpatient	cash	$1,346.50
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$1,346.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,232.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,114.67
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$1,084.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$1,032.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$942.67
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$937.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$927.81
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$919.34
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$839.34
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$819.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$776.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$762.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$674.67
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$648.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$624.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$622.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$570.13
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$546.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$535.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$518.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$500.50
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$497.17
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$483.67
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$469.33
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$440.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$429.33
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$396.50
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$378.33
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$359.33
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$352.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$303.33
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$283.83
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$267.63
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$230.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$213.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$166.83
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$162.67
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$153.75
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$150.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$88.33
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$927.23
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$872.90
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$865.77
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$680.81
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$567.46
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$567.46
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$562.75
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$436.45
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$283.73
United Hospital Center	WV	[De-identified Min]	—	outpatient	min	$205.80
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$205.80
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$205.80
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$205.80
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$148.58
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$148.58
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$148.58
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$148.58
Webster County Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$55.91
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	outpatient	negotiated	$2,491.15
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	outpatient	negotiated	$2,491.15
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	outpatient	negotiated	$2,444.58
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	outpatient	negotiated	$2,444.58
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	outpatient	negotiated	$2,444.58
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	outpatient	negotiated	$2,444.58
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	outpatient	negotiated	$2,405.47
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	outpatient	negotiated	$2,328.18
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	outpatient	negotiated	$2,328.18
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	outpatient	negotiated	$2,328.18
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	outpatient	negotiated	$2,328.18
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	outpatient	negotiated	$2,252.79
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$1,871.83
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$1,677.17
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$1,677.17
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$1,587.90
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$1,580.00
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$1,481.25
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$1,420.62
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$1,403.83
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$1,403.83
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	outpatient	negotiated	$1,177.46
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$1,177.46
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	outpatient	negotiated	$1,177.46
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	both	negotiated	$1,177.46
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$1,136.96
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	outpatient	negotiated	$1,136.96
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$1,113.41
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	outpatient	negotiated	$1,113.41
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$1,027.00
Webster County Memorial Hospital	WV	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$963.41
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$870.88
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$870.88
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	outpatient	negotiated	$870.88
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	outpatient	negotiated	$870.88
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	outpatient	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	outpatient	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	outpatient	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$745.36
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$710.31
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$701.92
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$701.92
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	outpatient	negotiated	$680.81
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	outpatient	negotiated	$506.00
Princeton Community Hospital	WV	[De-identified Max]	—	outpatient	max	$5,003.43
Webster County Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$3,960.23
Wheeling Hospital	WV	[De-identified Max]	—	outpatient	max	$3,582.22
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$1,975.00
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$1,309.52
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$1,309.35
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$1,298.66
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$1,298.65
United Hospital Center	WV	[De-identified Max]	—	outpatient	max	$1,019.15
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$1,010.68
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$943.69
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$654.77
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$654.67

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).