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
Madison, WI
See all hospitals reporting CPT 43252 →Price type
Meriter Hospital, Inc’s median price of $504 is 78% below the median hospital's median price ($2.3k), higher than 11% 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: 4 payers, 16 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 fee schedule · both | $150.99 | $150.99 | $150.99 – $150.99 |
| 2 | UnitedHealthcare medicare advantage fee schedule · both | $150.99 | $150.99 | $150.99 – $150.99 |
| 3 | Humana medicare advantage fee schedule · both | $158.54 | $158.54 | $158.54 – $158.54 |
| 4 | UnitedHealthcare commercial fee schedule · both | $378.67 | $378.67 | $378.67 – $378.67 |
| 5 | Anthem blue priority/pathway case rate · both | $462.03 | $462.03 | $462.03 – $462.03 |
| 6 | Anthem hmo/pos case rate · both | $504.31 | $504.31 | $504.31 – $504.31 |
| 7 | Anthem ppo case rate · both | $504.31 | $504.31 | $504.31 – $504.31 |
| 8 | Wellmark commercial case rate · both | $504.31 | $504.31 | $504.31 – $504.31 |
| 9 | Anthem medicare advantage case rate · outpatient | $1,832 | $1,832 | $1,832 – $1,832 |
| 10 | Humana medicare advantage case rate · outpatient | $1,832 | $1,832 | $1,832 – $1,832 |
| 11 | UnitedHealthcare medicare advantage case rate · outpatient | $1,832 | $1,832 | $1,832 – $1,832 |
| 12 | UnitedHealthcare commercial case rate · outpatient | $5,169 | $5,169 | $5,169 – $5,169 |
| 13 | Anthem blue priority/pathway per diem · outpatient | $6,952 | $6,952 | $6,952 – $6,952 |
| 14 | Anthem hmo/pos per diem · outpatient | $7,317 | $7,317 | $7,317 – $7,317 |
| 15 | Anthem ppo per diem · outpatient | $10,922 | $10,922 | $10,922 – $10,922 |
| 16 | Wellmark commercial per diem · outpatient | $10,922 | $10,922 | $10,922 – $10,922 |
Last updated: Jan 28, 2026
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