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
H PYLORI AG IA
Waco, TX
See all hospitals reporting CPT 87339 →Price type
Ascension Providence’s median price of $16 is 3% below the median hospital's median price ($17), higher than 35% of the 1,421 hospitals reporting CPT 87339. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare 877_tricare outpatient 20250101 other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Tricare 986_tricare inpatient 20251001 other · inpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $16 | $16 | — | — | — | $16 – $16 |
| 7 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 8 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 12 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 14 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
Last updated: Jan 1, 2026
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