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
Rome, GA
See all hospitals reporting CPT 43239 →Price type
Floyd Healthcare Management Inc’s median price of $932 is 21% below the median hospital's median price ($1.2k), higher than 31% 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, 12 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 medicare advantage case rate · outpatient | $913.54 | $913.54 | $913.54 – $913.54 |
| 2 | Caresource medicare advantage case rate · outpatient | $913.54 | $913.54 | $913.54 – $913.54 |
| 3 | Cigna medicare advantage case rate · outpatient | $913.54 | $913.54 | $913.54 – $913.54 |
| 4 | Humana medicare advantage case rate · outpatient | $913.54 | $913.54 | $913.54 – $913.54 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $913.54 | $913.54 | $913.54 – $913.54 |
| 6 | Aetna medicare advantage case rate · outpatient | $922.68 | $922.68 | $922.68 – $922.68 |
| 7 | WellCare medicare advantage case rate · outpatient | $931.81 | $931.81 | $931.81 – $931.81 |
| 8 | Clover medicare advantage case rate · outpatient | $940.95 | $940.95 | $940.95 – $940.95 |
| 9 | Anthem hmo/pos case rate · outpatient | $1,241 | $1,241 | $1,241 – $1,241 |
| 10 | Ambetter marketplace exchange case rate · outpatient | $1,370 | $1,370 | $1,370 – $1,370 |
| 11 | Caresource marketplace exchange case rate · outpatient | $1,370 | $1,370 | $1,370 – $1,370 |
| 12 | Anthem ppo case rate · outpatient | $1,636 | $1,636 | $1,636 – $1,636 |
Last updated: Nov 19, 2025
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