Upper endoscopy with submucosal injection at Bluffton Health System LLC

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

43236 UPPR GI SCOPE W/SUBMUC INJ

Bluffton, IN

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Pricing by billing methodology

Price type

How this price compares nationally

Bluffton Health System LLC’s median price of $644 is 45% below the median hospital's median price ($1.2k), higher than 16% of the 2,120 hospitals reporting CPT 43236. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43236 at Bluffton Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 26 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	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$262	$246	$81	33%	—	$130 – $329
2	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$293	$275	$90	33%	—	$145 – $368
3	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$300	$281	$92	33%	—	$148 – $376
4	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$300	$281	$92	33%	—	$148 – $376
5	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$300	$281	$92	33%	—	$148 – $376
6	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$300	$281	$92	33%	—	$148 – $376
7	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$369	$346	$113	33%	—	$183 – $463
8	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$369	$346	$113	33%	—	$183 – $463
9	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$388	$363	$119	33%	—	$192 – $486
10	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$662	$621	$203	33%	—	$328 – $831
11	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$662	$621	$203	33%	—	$328 – $831
12	First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges	$712	$668	$219	33%	—	$353 – $894
13	First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges	$712	$668	$219	33%	—	$353 – $894
14	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$850	$850	—	—	—	$850 – $850
15	Aetna node aetna mcr adv facility · other · outpatient	$944	$944	—	—	—	$944 – $944
16	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$944	$944	—	—	—	$944 – $944
17	Anthem anthem in hip facility · fee schedule · outpatient	$960	$960	—	—	—	$960 – $960
18	Humana node humana choicecare mcr adv facility · fee schedule · outpatient	$960	$960	—	—	—	$960 – $960
19	Optum node united optum va ccn facility · per diem · outpatient	$960	$960	—	—	—	$960 – $960
20	Caresource node caresource mcr adv facility · fee schedule · outpatient	$963	$963	—	—	—	$963 – $963
21	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$963	$963	—	—	—	$963 – $963
22	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
23	Anthem anthem in work comp facility · other · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
24	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
25	Anthem anthem in healthsync facility · fee schedule · outpatient	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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