Flexible scope exam of esophagus with balloon widening at Ascension Seton

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

ESOPHAGOSCOPY BALLOON <30MM

Smithville, TX

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How this price compares nationally

Ascension Seton’s median price of $565 is 73% below the median hospital's median price ($2.1k), higher than 11% of the 1,868 hospitals reporting CPT 43220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43220 at Ascension Seton

Negotiated rates from the hospital’s own file: 5 payers, 22 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	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
2	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
3	Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
4	Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
5	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
6	Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
7	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
8	Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
9	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
10	UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
11	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
12	UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
13	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
14	UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 fee schedule · outpatient	$565	$565	—	—	—	$565 – $565
15	Humana 206_humana hmo custom 20140201 other · outpatient	$969	$969	—	—	—	$969 – $969
16	Oscar 4511_oscar health plan 20251001 other · both	$1k	$1k	—	—	—	$1k – $1k
17	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Last updated: Jan 1, 2026

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