CPT 43258
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.
Original text from hospital filings
Operative upper GI endoscopy
Low
$1
Average
$6.1k
Median
$4.9k
High
$35.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 24.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Oscar case rate · outpatient · +5 other terms | 52 | $4.2k | $4.5k | $1.4k | 31% | — | $3.3k – $6.6k |
| 2 | Healthcare Highways case rate · outpatient | 39 | $5.8k | $7.8k | $5.4k | 68% | — | $2.1k – $14.6k |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 36 | $7.4k | $7.6k | $6.1k | 80% | — | $139 – $33.6k |
| 4 | MultiPlan case rate · outpatient · +2 other terms | 30 | $5.7k | $6.5k | $1.9k | 29% | — | $5.3k – $11.5k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 21 | $7.6k | $7.9k | $3.7k | 47% | — | $1.3k – $15.6k |
| 6 | Humana case rate · outpatient · +6 other terms | 21 | $9.3k | $8.7k | $1.6k | 19% | — | $3.4k – $9.3k |
| 7 | Phcs fee schedule · outpatient · +5 other terms | 20 | $2.3k | $3.3k | $2.2k | 66% | — | $1.3k – $6.3k |
| 8 | Cigna fee schedule · outpatient · +11 other terms | 18 | $4.7k | $5.9k | $4.6k | 77% | — | $349 – $20.7k |
| 9 | Ambetter case rate · outpatient · +5 other terms | 11 | $2.3k | $2.5k | $484 | 19% | — | $2.3k – $4.0k |
| 10 | First Health case rate · outpatient · +4 other terms | 10 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Hospitals reporting CPT 43258 · Snapshot 20261113T090226Z-3ce6c0b8