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 OPTICAL ENDOMICROSCOPY
Macon, GA
See all hospitals reporting CPT 43252 →Price type
Central Georgia Rehabilitation LLC’s median price of $1.8k is 23% below the median hospital's median price ($2.3k), higher than 23% of the 1,531 hospitals reporting CPT 43252. 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, 21 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 | $156.26 | $156.26 | $156.26 – $156.26 |
| 2 | Anthem medicare advantage fee schedule · both | $156.26 | $156.26 | $156.26 – $156.26 |
| 3 | Humana medicare advantage fee schedule · both | $156.26 | $156.26 | $156.26 – $156.26 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $156.26 | $156.26 | $156.26 – $156.26 |
| 5 | Caresource medicare advantage fee schedule · both | $159.39 | $159.39 | $159.39 – $159.39 |
| 6 | Clover medicare advantage fee schedule · both | $159.39 | $159.39 | $159.39 – $159.39 |
| 7 | Ambetter managed medicaid fee schedule · both | $210.95 | $210.95 | $210.95 – $210.95 |
| 8 | Anthem hmo/ppo fee schedule · both | $358.66 | $358.66 | $358.66 – $358.66 |
| 9 | Humana hmo/pos fee schedule · both | $462.87 | $462.87 | $462.87 – $462.87 |
| 10 | Humana ppo fee schedule · both | $462.87 | $462.87 | $462.87 – $462.87 |
| 11 | Kaiser commercial case rate · outpatient | $1,777 | $1,777 | $1,777 – $1,777 |
| 12 | Aetna medicare advantage fee schedule · outpatient | $1,897 | $1,897 | $1,897 – $1,897 |
| 13 | Anthem medicare advantage fee schedule · outpatient | $1,897 | $1,897 | $1,897 – $1,897 |
| 14 | Humana medicare advantage fee schedule · outpatient | $1,897 | $1,897 | $1,897 – $1,897 |
| 15 | UnitedHealthcare medicare advantage fee schedule · outpatient | $1,897 | $1,897 | $1,897 – $1,897 |
| 16 | Caresource medicare advantage fee schedule · outpatient | $1,935 | $1,935 | $1,935 – $1,935 |
| 17 | Clover medicare advantage fee schedule · outpatient | $1,935 | $1,935 | $1,935 – $1,935 |
| 18 | Anthem hmo/ppo case rate · outpatient | $3,464 | $3,464 | $3,464 – $3,464 |
| 19 | Humana hmo/pos case rate · outpatient | $4,453 | $4,453 | $4,453 – $4,453 |
| 20 | Cigna commercial case rate · outpatient | $4,503 | $4,503 | $4,503 – $4,503 |
| 21 | Humana ppo case rate · outpatient | $5,756 | $5,756 | $5,756 – $5,756 |
Last updated: Nov 19, 2025
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