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
PR EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY
Sioux City, IA
See all hospitals reporting CPT 43252 →Price type
Northwest Iowa Hospital Corporation’s median price of $510 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: 6 payers, 22 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 | Aetna medicare advantage fee schedule · both | $150.09 | $150.09 | $150.09 – $150.09 |
| 2 | Molina medicare advantage fee schedule · both | $153.09 | $153.09 | $153.09 – $153.09 |
| 3 | Wellmark medicare advantage fee schedule · both | $153.09 | $153.09 | $153.09 – $153.09 |
| 4 | Humana medicare advantage fee schedule · both | $157.59 | $157.59 | $157.59 – $157.59 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $157.59 | $157.59 | $157.59 – $157.59 |
| 6 | Wellmark commercial fee schedule · both | $319.60 | $319.60 | $319.60 – $319.60 |
| 7 | Wellmark hmo fee schedule · both | $319.60 | $319.60 | $319.60 – $319.60 |
| 8 | Wellmark ppo fee schedule · both | $376.00 | $376.00 | $376.00 – $376.00 |
| 9 | Cigna commercial fee schedule · both | $401.85 | $401.85 | $401.85 – $401.85 |
| 10 | Aetna hmo fee schedule · both | $402.08 | $402.08 | $402.08 – $402.08 |
| 11 | Aetna ppo fee schedule · both | $489.21 | $489.21 | $489.21 – $489.21 |
| 12 | UnitedHealthcare hmo fee schedule · both | $531.33 | $531.33 | $531.33 – $531.33 |
| 13 | UnitedHealthcare ppo fee schedule · both | $531.33 | $531.33 | $531.33 – $531.33 |
| 14 | Aetna medicare advantage case rate · outpatient | $1,886 | $1,886 | $1,886 – $1,886 |
| 15 | Molina medicare advantage case rate · outpatient | $1,886 | $1,886 | $1,886 – $1,886 |
| 16 | Wellmark medicare advantage case rate · outpatient | $1,886 | $1,886 | $1,886 – $1,886 |
| 17 | Humana medicare advantage case rate · outpatient | $1,941 | $1,941 | $1,941 – $1,941 |
| 18 | UnitedHealthcare medicare advantage case rate · outpatient | $1,941 | $1,941 | $1,941 – $1,941 |
| 19 | Aetna hmo fee schedule · outpatient | $4,042 | $4,042 | $4,042 – $4,042 |
| 20 | Aetna ppo fee schedule · outpatient | $4,638 | $4,638 | $4,638 – $4,638 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $5,063 | $5,063 | $5,063 – $5,063 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $5,063 | $5,063 | $5,063 – $5,063 |
Last updated: Jan 28, 2026
See Upper endoscopy with optical endomicroscopy imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.