☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /43242
HCPCS 43242

HB GASTROSCOPY/PANENDO W/US GUIDED FNA/BIOPSY ESOPH/STOMACH

Reported by 254 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$267

Average

$3.0k

Median

$2.7k

High

$12.4k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.5k$4.0k$4.0k$6.2k$1.4k
2University of Iowa Health Care Medical CenterIowa City, IA$1.5k$4.2k$4.0k$6.2k$1.4k
3The Mount Sinai HospitalNew York, NY$426$4.8k$4.7k$9.3k$2.6k
4Portland Adventist Medical CenterPortland, OR$1.5k$4.3k$4.8k$20.1k$3.4k
5Ukiah Adventist HospitalUkiah, CA$15$330$322$796$207
6Adventist Health Medical Center TehachapiTehachapi, CA$15$293$317$1.1k$203
7Sonora Community HospitalSonora, CA$231$328$462$1.1k$266
8Mid Columbia Medical CenterDalles, OR$225$306$982$6.7k$1.8k
9Adventist Health TulareTulare, CA$231$254$316$951$149
10Reedley Community HospitalReedley, CA$8$231$270$1.1k$255
Page 1 of 26

Look up this code directly

Ask Claude or any MCP client for HCPCS 43242 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC