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 Intrmural Needle Aspir/Biop Altered Anatomy
Utica, NY
See all hospitals reporting CPT 43242 →Price type
MVHS, Inc.’s median price of $184 is 92% below the median hospital's median price ($2.2k), higher than 1% of the 1,845 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: 11 payers, 28 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 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Aetna aetna medicare advantage fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 6 | Medicare medicare fee schedule · both | $111 | $111 | — | — | — | $111 – $111 |
| 7 | WellCare wellcare fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Humana choicecare fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Humana humana medicare advantage fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Cigna mvp hmo/ppo fee schedule · both | $171 | $171 | — | — | — | $171 – $171 |
| 11 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $175 | $175 | — | — | — | $175 – $175 |
| 12 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 13 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $366 | $366 | — | — | — | $366 – $366 |
| 14 | Humana humana military other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Tricare humana military other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Excellus excellus bcbs medicare advantage other · outpatient | $2.4k | $2.4k | — | — | 11 | $2.4k – $2.4k |
| 17 | Humana humana medicare advantage other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 18 | Medicare medicare other · outpatient | $2.4k | $2.4k | — | — | 22 | $2.4k – $2.4k |
| 19 | Optum vaccn optum other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 20 | UnitedHealthcare uhc medicare advantage other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 21 | Aetna aetna medicare advantage other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 22 | WellCare wellcare medicare advantage other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | $230 | 9% | 2–20 | $2.3k – $2.8k |
| 24 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 25 | UnitedHealthcare uhc commercial fee schedule · outpatient | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
Last updated: Aug 7, 2026
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