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 GASTRIC
Carthage, MS
See all hospitals reporting CPT 87077 →Price type
Baptist Memorial Hospital - Leake’s median price of $22 is 39% above the median hospital's median price ($16), higher than 60% of the 2,602 hospitals reporting CPT 87077. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Molina medicaid facility · fee schedule · outpatient | $8.24 | $8.24 | $8.24 – $8.24 |
| 2 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $11.56 | $11.56 | $11.56 – $11.56 |
| 3 | Molina chip facility · fee schedule · outpatient | $14.14 | $14.14 | $14.14 – $14.14 |
| 4 | Tricare tricare facility · percent of total billed charges · outpatientfrom % of charges | $11.63 | $16.80 | $8.72 – $30.04 |
| 5 | UnitedHealthcare aarp facility · percent of total billed charges · outpatientfrom % of charges | $12.24 | $17.68 | $9.18 – $31.62 |
| 6 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.48 | $18.03 | $9.36 – $32.25 |
| 7 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.61 | $18.21 | $9.46 – $32.57 |
| 8 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.85 | $18.56 | $9.64 – $33.20 |
| 9 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.85 | $18.56 | $9.64 – $33.20 |
| 10 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $12.85 | $18.56 | $9.64 – $33.20 |
| 11 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.85 | $18.56 | $9.64 – $33.20 |
| 12 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $22.64 | $32.71 | $16.98 – $58.50 |
| 13 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $25.20 | $36.40 | $18.90 – $65.10 |
| 14 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $25.20 | $36.40 | $18.90 – $65.10 |
| 15 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $25.20 | $36.40 | $18.90 – $65.10 |
| 16 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $25.20 | $36.40 | $18.90 – $65.10 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $28.80 | $41.60 | $21.60 – $74.40 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $28.80 | $41.60 | $21.60 – $74.40 |
| 19 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $30.60 | $44.20 | $22.95 – $79.05 |
Last updated: Feb 20, 2026
See Bacterial culture identification test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.