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
EGD BIOPSY SINGLE/MULTIPLE
Macon, GA
See all hospitals reporting CPT 43239 →Price type
Central Georgia Rehabilitation LLC’s median price of $652 is 44% below the median hospital's median price ($1.2k), higher than 15% of the 2,368 hospitals reporting CPT 43239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 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 | Aetna medicare advantage fee schedule · both | $128.42 | $128.42 | $128.42 – $128.42 |
| 2 | Anthem medicare advantage fee schedule · both | $128.42 | $128.42 | $128.42 – $128.42 |
| 3 | Humana medicare advantage fee schedule · both | $128.42 | $128.42 | $128.42 – $128.42 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $128.42 | $128.42 | $128.42 – $128.42 |
| 5 | Caresource medicare advantage fee schedule · both | $130.99 | $130.99 | $130.99 – $130.99 |
| 6 | Clover medicare advantage fee schedule · both | $130.99 | $130.99 | $130.99 – $130.99 |
| 7 | Ambetter managed medicaid fee schedule · both | $173.37 | $173.37 | $173.37 – $173.37 |
| 8 | Cigna commercial fee schedule · both | $516.91 | $516.91 | $516.91 – $516.91 |
| 9 | Aetna hmo fee schedule · both | $535.50 | $535.50 | $535.50 – $535.50 |
| 10 | Aetna pos fee schedule · both | $535.50 | $535.50 | $535.50 – $535.50 |
| 11 | Aetna ppo fee schedule · both | $558.00 | $558.00 | $558.00 – $558.00 |
| 12 | Humana hmo/pos fee schedule · both | $630.05 | $630.05 | $630.05 – $630.05 |
| 13 | Humana ppo fee schedule · both | $630.05 | $630.05 | $630.05 – $630.05 |
| 14 | UnitedHealthcare commercial fee schedule · both | $645.05 | $645.05 | $645.05 – $645.05 |
| 15 | Kaiser commercial fee schedule · both | $692.10 | $692.10 | $692.10 – $692.10 |
| 16 | Aetna medicare advantage fee schedule · outpatient | $937.56 | $937.56 | $937.56 – $937.56 |
| 17 | Anthem medicare advantage fee schedule · outpatient | $937.56 | $937.56 | $937.56 – $937.56 |
| 18 | Humana medicare advantage fee schedule · outpatient | $937.56 | $937.56 | $937.56 – $937.56 |
| 19 | UnitedHealthcare medicare advantage fee schedule · outpatient | $937.56 | $937.56 | $937.56 – $937.56 |
| 20 | Caresource medicare advantage fee schedule · outpatient | $956.31 | $956.31 | $956.31 – $956.31 |
| 21 | Clover medicare advantage fee schedule · outpatient | $956.31 | $956.31 | $956.31 – $956.31 |
| 22 | Aetna hmo case rate · outpatient | $1,456 | $1,456 | $1,456 – $1,456 |
| 23 | Aetna pos case rate · outpatient | $1,684 | $1,684 | $1,684 – $1,684 |
| 24 | Kaiser commercial case rate · outpatient | $1,777 | $1,777 | $1,777 – $1,777 |
| 25 | Aetna ppo case rate · outpatient | $1,889 | $1,889 | $1,889 – $1,889 |
Last updated: Nov 19, 2025
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