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 FLEX/TRANSORAL;SCLER INJ
Pasadena, TX
See all hospitals reporting CPT 43243 →Price type
Pmc Hospital, Llc’s median price of $1.8k is 16% below the median hospital's median price ($2.1k), higher than 29% of the 1,724 hospitals reporting CPT 43243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 33 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 medicaid|all other plans case rate · outpatient | $576 | $576 | — | — | — | $576 – $576 |
| 2 | UnitedHealthcare medicaid|star case rate · outpatient | $774 | $774 | — | — | — | $774 – $774 |
| 3 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Aetna commercial|hmo case rate · outpatient | $1.2k | $1.2k | $111 | 9% | — | $1.1k – $1.3k |
| 5 | Cigna commercial|transplant fee schedule · outpatient | $1.2k | $1.2k | $96 | 8% | — | $1.2k – $1.3k |
| 6 | First Health commercial|all plans fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | First Health commercial|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Aetna commercial|ppo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Cigna commercial|transplant fee schedule · inpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Aetna commercial|transplant fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Blue Cross Blue Shield commercial|myblue health exchange case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | UnitedHealthcare medicaid|starplus case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Humana commercial|hmo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Humana commercial|ppo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Cigna Healthspring medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Humana medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Aetna medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | UnitedHealthcare medicare|all plans case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Blue Cross Blue Shield commercial|blue premier case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | UnitedHealthcare commercial|exchange case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 24 | Cigna commercial|surefit case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | Blue Cross Blue Shield commercial|hmo case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Feb 28, 2026
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