Upper endoscopy with optical endomicroscopy imaging at Jefferson Regional Medical Center

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

PR EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY

JEFFERSON HILLS, PA

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How this price compares nationally

Jefferson Regional Medical Center’s median price of $311 is 87% below the median hospital's median price ($2.3k), higher than 6% of the 1,531 hospitals reporting CPT 43252. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43252 at Jefferson Regional Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 52 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	Highmark highmark community blue medicare fee schedule · inpatient	$144.28	$144.28	$144.28 – $144.28
2	Highmark highmark community blue medicare fee schedule · outpatient	$144.28	$144.28	$144.28 – $144.28
3	Highmark highmark security blue fee schedule · inpatient	$159.79	$159.79	$159.79 – $159.79
4	Highmark highmark together blue fee schedule · inpatient	$200.98	$200.98	$200.98 – $200.98
5	Highmark highmark blue high performance fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
6	Highmark highmark community blue fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
7	Highmark highmark connect blue fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
8	Highmark highmark indemnity fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
9	Highmark highmark managed care fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
10	Highmark highmark my blue access fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
11	Highmark highmark my direct blue fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
12	Highmark highmark performance blue fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
13	Highmark highmark social mission indemnity fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
14	Highmark highmark social mission managed care fee schedule · inpatient	$212.61	$212.61	$212.61 – $212.61
15	Cigna cigna commercial fee schedule · inpatient	$264.75	$264.75	$264.75 – $264.75
16	UnitedHealthcare united healthcare navigate nexus commercial fee schedule · inpatient	$310.57	$310.57	$310.57 – $310.57
17	UnitedHealthcare united healthcare navigate nexus commercial fee schedule · outpatient	$310.57	$310.57	$310.57 – $310.57
18	UnitedHealthcare united healthcare commercial fee schedule · inpatient	$327.43	$327.43	$327.43 – $327.43
19	UnitedHealthcare united healthcare of oh medicaid fee schedule · inpatient	$327.43	$327.43	$327.43 – $327.43
20	UnitedHealthcare united healthcare of oh medicaid fee schedule · outpatient	$327.43	$327.43	$327.43 – $327.43
21	Highmark highmark together blue fee schedule · outpatient	$526.43	$526.43	$200.98 – $851.88
22	Highmark highmark my direct blue fee schedule · outpatient	$855.72	$855.72	$212.61 – $1,499
23	Highmark highmark security blue fee schedule · outpatient	$1,029	$1,029	$159.79 – $1,898
24	Highmark highmark social mission indemnity fee schedule · outpatient	$1,095	$1,095	$212.61 – $1,978
25	Highmark highmark social mission managed care fee schedule · outpatient	$1,095	$1,095	$212.61 – $1,978

Page 1 of 3 · 52 rates

Last updated: Apr 14, 2026

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