Anesthesia for upper and lower GI endoscopy

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ADMINI ANESTHESIA - UPPER & LOWER GI,Not Medical Necessity without ABN, Anesthesia Services provided by a CRNA under the supervision of a provider other than a Anesthesiologist. Anesthesia meets the definition of Monitored Anesthesia Care (MAC)

Payers reporting CPT 00813

Payer pricing summary

Low

Average

$348

Median

$187

High

$1.5k

Payer rate distribution

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#
1	Humana other · outpatient · +17 other terms	24	$1.2k	$409	$870	213%	18	$15 – $5.9k
2	Ucare professional · fee schedule · outpatient · +1 other terms	2	$58	$58	$48	82%	1–10	$11 – $106
3	Bcbs Ne professional · other · both	1	$391	$391	—	—	1–10	$391 – $391
4	Aetna other · outpatient · +24 other terms	34	$1.1k	$599	$908	152%	—	$20 – $5.9k
5	Molina facility · case rate · outpatient · +15 other terms	29	$127	$106	$96	91%	—	$15 – $308
6	UnitedHealthcare fee schedule · outpatient · +23 other terms	26	$24	$56	$58	104%	—	$2 – $358
7	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	24	$75	$85	$59	69%	—	$0 – $424
8	Anthem fee schedule · outpatient · +18 other terms	21	$235	$229	$34	15%	—	$29 – $235
9	Regence professional · case rate · outpatient · +7 other terms	17	$21	$21	—	—	—	$21 – $21
10	Caresource other · outpatient · +11 other terms	16	$1.2k	$998	$1.3k	126%	—	$17 – $6.0k
11	Optum facility · case rate · outpatient · +6 other terms	13	$164	$161	$74	46%	—	$14 – $279
12	Bcbs Nc fee schedule · both	11	$169	$169	—	—	—	$169 – $169
13	Cigna professional · other · outpatient · +19 other terms	11	$79	$79	$28	35%	—	$21 – $130
14	Amerihealth Caritas other · outpatient · +7 other terms	10	$924	$344	$610	177%	—	$15 – $2.2k
15	Medicaid fee schedule · outpatient · +4 other terms	10	$424	$424	—	—	—	$424 – $424
16	WellCare professional · fee schedule · both · +11 other terms	10	$15	$17	$13	78%	—	$0 – $57
17	Kaiser fee schedule · outpatient · +9 other terms	9	$79	$84	$53	63%	—	$20 – $424
18	Aetna Better Health professional · fee schedule · both · +6 other terms	8	$10	$11	$9	81%	—	$0 – $21
19	MultiPlan fee schedule · outpatient · +13 other terms	8	$5	$103	$140	136%	—	$5 – $410
20	Tricare other · outpatient · +7 other terms	8	$1.3k	$535	$724	135%	—	$20 – $2.2k
21	Bcbs Il professional · fee schedule · both	7	$10	$8	$10	120%	—	$0 – $21
22	Medica fee schedule · inpatient · +11 other terms	7	$4	$47	$106	228%	—	$4 – $410
23	Ambetter other · outpatient · +7 other terms	6	$1.4k	$1.5k	$324	22%	—	$1.3k – $2.2k
24	First Health professional · fee schedule · both · +9 other terms	6	$64	$164	$223	136%	—	$64 – $664
25	Highmark other · outpatient · +9 other terms	6	$1.4k	$1.5k	$324	22%	—	$1.3k – $2.2k

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