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
ESOPH SCOPE W/SCLEROSIS INJ
Boulder, CO
See all hospitals reporting CPT 43204 →Price type
Boulder Community Health’s median price of $266 is 87% below the median hospital's median price ($2.0k), higher than 10% of the 1,578 hospitals reporting CPT 43204. 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, 28 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 | Healthpartners managed medicaid professional · fee schedule · both | $112 | $112 | — | — | — | $112 – $112 |
| 2 | Aetna medicare advantage professional · case rate · both | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 4 | Devoted medicare advantage professional · fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Humana medicare advantage professional · fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
| 7 | Anthem commercial professional · fee schedule · both | $165 | $182 | $26 | 14% | — | $165 – $223 |
| 8 | Kaiser commercial professional · fee schedule · both | $193 | $193 | — | — | — | $193 – $193 |
| 9 | MultiPlan commercial professional · fee schedule · both | $206 | $206 | — | — | — | $206 – $206 |
| 10 | Phcs commercial professional · fee schedule · both | $206 | $206 | — | — | — | $206 – $206 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 12 | Anthem managed care professional · fee schedule · both | $223 | $223 | — | — | — | $223 – $223 |
| 13 | Cigna commercial professional · fee schedule · both | $224 | $224 | — | — | — | $224 – $224 |
| 14 | Aetna commercial professional · fee schedule · both | $266 | $266 | — | — | — | $266 – $266 |
| 15 | Aetna ppo professional · fee schedule · both | $266 | $266 | — | — | — | $266 – $266 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $270 | $270 | — | — | — | $270 – $270 |
| 17 | UnitedHealthcare medicare advantage professional · fee schedule · both | $1.1k | $1.1k | $962 | 89% | — | $122 – $2.0k |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Humana medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | $10 | 0% | — | $2.1k – $2.1k |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Kaiser commercial facility · case rate · outpatient | $4.5k | $4.5k | $540 | 12% | — | $3.9k – $5.0k |
| 25 | UnitedHealthcare commercial facility · fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
Last updated: Sep 16, 2026
See Endoscopic injection treatment of esophageal varices pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.