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 US FINE NEEDLE BX/ASPIR
Hialeah, FL
See all hospitals reporting CPT 43242 →Price type
Hsa Pgh Llc’s median price of $4.6k is 108% above the median hospital's median price ($2.2k), higher than 91% of the 1,834 hospitals reporting CPT 43242. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 30 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | 1–10 | $237 – $237 |
| 2 | Aetna aetna non-gatekeeper facility · case rate · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 3 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $743 | $743 | — | — | — | $743 – $743 |
| 4 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $743 | $743 | — | — | — | $743 – $743 |
| 5 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $743 | $743 | — | — | — | $743 – $743 |
| 6 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $754 | $754 | — | — | — | $754 – $754 |
| 7 | Molina molina managed medicaid facility · other · outpatient | $765 | $765 | — | — | — | $765 – $765 |
| 8 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 10 | UnitedHealthcare united healthcare of florida exchange facility · case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 11 | Humana humana medicare hmo facility · fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 12 | Humana humana medicare ppo facility · fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 13 | Medicare medicare facility · fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 14 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 15 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 16 | Devoted devoted health facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 17 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 18 | Molina molina medicare advantage program facility · fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 19 | Cigna cigna healthsprings facility · fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 20 | Humana humana commercial hmo facility · case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 21 | Cigna cigna individual family facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | Humana humana commercial ppo facility · case rate · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 23 | UnitedHealthcare united healthcare of florida all payer facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 24 | UnitedHealthcare united healthcare of florida hmo facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 25 | UnitedHealthcare united healthcare of florida ppo facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
Last updated: Sep 1, 2026
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