Upper endoscopy with tissue sample at Northwestern Lake Forest Hospital

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Egd Transoral Biopsy Single/Multiple

Lake Forest, IL

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Pricing by billing methodology

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How this price compares nationally

Northwestern Lake Forest Hospital’s median price of $3.6k is 206% above the median hospital's median price ($1.2k), higher than 95% of the 2,368 hospitals reporting CPT 43239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43239 at Northwestern Lake Forest Hospital

Negotiated rates from the hospital’s own file: 8 payers, 23 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	UnitedHealthcare nlfh uhc core case rate · outpatient	$1,069	$1,069	$1,069 – $1,069
2	UnitedHealthcare nlfh uhc hmo/ppo case rate · outpatient	$1,187	$1,187	$1,187 – $1,187
3	Blue Cross Blue Shield nlfh blue cross medicare advt other · outpatient	$1,497	$1,497	$861.52 – $2,132
4	Aetna nlfh aetna nm employees percent of total billed charges · outpatientfrom % of charges	$1,764	$1,764	$763.10 – $2,765
5	Blue Cross Blue Shield nlfh advocate ipa other · outpatient	$2,132	$2,132	$2,132 – $2,132
6	Humana nlfh advocate ipa other · outpatient	$2,132	$2,132	$2,132 – $2,132
7	Humana nlfh humana medicare advt other · outpatient	$2,132	$2,132	$2,132 – $2,132
8	Blue Cross Blue Shield nlfh bcbs hmo percent of total billed charges · outpatientfrom % of charges	$2,252	$2,252	$974.10 – $3,529
9	Blue Cross Blue Shield nlfh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges	$2,487	$2,487	$1,076 – $3,898
10	Blue Cross Blue Shield nlfh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges	$2,487	$2,487	$1,076 – $3,898
11	Blue Cross Blue Shield nlfh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges	$2,487	$2,487	$1,076 – $3,898
12	Blue Cross Blue Shield nlfh bcbs ppo percent of total billed charges · outpatientfrom % of charges	$2,901	$2,901	$1,255 – $4,547
13	Aetna nlfh aetna per diem · outpatient	$3,270	$3,270	$3,270 – $3,270
14	Aetna nlfh aetna asa per diem · outpatient	$3,597	$3,597	$3,597 – $3,597
15	Cigna nlfh cigna alternative percent of total billed charges · outpatientfrom % of charges	$3,997	$3,997	$1,733 – $6,261
16	Cigna nlfh cigna broad percent of total billed charges · outpatientfrom % of charges	$6,868	$6,868	$2,979 – $10,757
17	Beechstreet nlfh phcs percent of total billed charges · outpatientfrom % of charges	$8,501	$8,501	$3,678 – $13,325
18	MultiPlan nlfh phcs percent of total billed charges · outpatientfrom % of charges	$8,501	$8,501	$3,678 – $13,325
19	First Health nlfh first health percent of total billed charges · outpatientfrom % of charges	$8,714	$8,714	$3,770 – $13,658
20	Blue Cross Blue Shield nlfh bc lake county phys assoc ipa percent of total billed charges · outpatientfrom % of charges	$10,627	$10,627	$4,597 – $16,656
21	Blue Cross Blue Shield nlfh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges	$10,627	$10,627	$4,597 – $16,656
22	MultiPlan nlfh non-contracted payors percent of total billed charges · outpatientfrom % of charges	$10,627	$10,627	$4,597 – $16,656
23	UnitedHealthcare nlfh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges	$10,627	$10,627	$4,597 – $16,656

Last updated: Apr 1, 2026

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