☀️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. /43252
  5. /Case rate
HCPCS 43252

Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Reported by 22 hospitals in the network under the case rate methodology.

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.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$1.9k

Average

$4.1k

Median

$4.4k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1Spring Valley Hospital Medical CenterLas Vegas, NV—$2.5k$5.1k—$9.6k
2Valley Health Speciality HospitalLas Vegas, NV—$2.7k$5.3k—$9.8k
3Summerlin Hospital Medical CenterLas Vegas, NV—$2.7k$5.3k—$9.8k
4West Henderson HospitalHenderson, NV—$2.7k$5.3k—$9.8k
5Henderson HospitalHenderson, NV—$2.7k$5.3k—$9.8k
6Centennial HillsLas Vegas, NV—$2.7k$5.3k—$9.8k
7McAllen Hospitals, LPMcAllen, TX—$4.4k$4.7k—$2.3k
8McAllen Hospitals, LPEdinburg, TX—$4.4k$4.7k—$2.3k
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$1.3k$1.9k—$1.1k
10The George Washington University HospitalWashington, DC—$3.0k$3.3k—$2.3k
Page 1 of 3

Look up this code directly

Ask Claude or any MCP client for HCPCS 43252 pricing at a specific hospital — see how to connect.

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

© 2026 Medprice AI LLC