Upper endoscopy with tissue sample at Children's National Hospital

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

3M $ UGI W BX. SGL/MULTIPLE

Washington, DC

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Pricing by billing methodology

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How this price compares nationally

Children's National Hospital’s median price of $191 is 84% below the median hospital's median price ($1.2k), higher than 4% of the 2,386 hospitals reporting CPT 43239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43239 at Children's National Hospital

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Anthem medicaid professional · fee schedule · both	$119	$119	—	—	—	$119 – $119
2	UnitedHealthcare managed medicaid professional · fee schedule · both	$125	$125	$5	4%	—	$120 – $129
3	Kaiser managed medicaid professional · fee schedule · both	$128	$128	—	—	—	$128 – $128
4	Aetna Better Health managed medicaid professional · fee schedule · both	$129	$129	$5	4%	—	$123 – $134
5	Molina managed medicaid (ccc plus) professional · fee schedule · both	$146	$146	—	—	—	$146 – $146
6	Molina managed medicaid (medallion) professional · fee schedule · both	$146	$146	—	—	—	$146 – $146
7	Carefirst hmo professional · fee schedule · both	$146	$146	—	—	—	$146 – $146
8	Carefirst managed medicaid professional · fee schedule · both	$148	$148	—	—	—	$148 – $148
9	Aetna commercial professional · fee schedule · both	$158	$158	—	—	—	$158 – $158
10	Carefirst rpn professional · fee schedule · both	$163	$163	—	—	—	$163 – $163
11	Anthem hmo facility · fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
12	Anthem hmx facility · fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
13	Anthem ppo/par facility · fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
14	Cigna oap professional · percent of total billed charges · bothfrom % of charges	$585	$585	—	—	—	$585 – $585
15	Cigna ppo professional · percent of total billed charges · bothfrom % of charges	$585	$585	—	—	—	$585 – $585
16	Kaiser commercial professional · percent of total billed charges · bothfrom % of charges	$702	$702	—	—	—	$702 – $702
17	Anthem hmx professional · fee schedule · both	$754	$754	—	—	—	$754 – $754
18	Anthem hmo professional · fee schedule · both	$791	$791	—	—	—	$791 – $791
19	Anthem ppo/par professional · fee schedule · both	$791	$791	—	—	—	$791 – $791
20	Carefirst hmo facility · fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
21	Carefirst rpn facility · fee schedule · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k
22	Aetna commercial facility · fee schedule · outpatient	$4.6k	$4.6k	—	—	—	$4.6k – $4.6k
23	UnitedHealthcare all payer facility · fee schedule · outpatient	$4.7k	$4.7k	—	—	—	$4.7k – $4.7k
24	UnitedHealthcare options ppo facility · fee schedule · outpatient	$5.2k	$5.2k	—	—	—	$5.2k – $5.2k
25	Cigna oap facility · fee schedule · outpatient	$6.3k	$6.3k	—	—	—	$6.3k – $6.3k

Last updated: Apr 2, 2026

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