Upper endoscopy with tissue sample at South Carolina Coastal Medical Center LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

EGD BIOPSY SINGLE/MULTIPLE

Hardeeville, SC

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Pricing by billing methodology

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How this price compares nationally

South Carolina Coastal Medical Center LLC’s median price of $886 is 25% below the median hospital's median price ($1.2k), higher than 23% 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 South Carolina Coastal Medical Center LLC

Negotiated rates from the hospital’s own file: 8 payers, 21 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	Bcbs Sc state health plan fee schedule · outpatient	$832.93	$832.93	$832.93 – $832.93
2	Aetna medicare advantage fee schedule · outpatient	$843.57	$843.57	$843.57 – $843.57
3	Devoted hmo ma fee schedule · outpatient	$843.57	$843.57	$843.57 – $843.57
4	Devoted ppo ma fee schedule · outpatient	$843.57	$843.57	$843.57 – $843.57
5	Humana medicare advantage fee schedule · outpatient	$843.57	$843.57	$843.57 – $843.57
6	UnitedHealthcare medicare advantage fee schedule · outpatient	$843.57	$843.57	$843.57 – $843.57
7	Molina medicare advantage fee schedule · outpatient	$860.44	$860.44	$860.44 – $860.44
8	Molina mmp fee schedule · outpatient	$860.44	$860.44	$860.44 – $860.44
9	Cigna healthspring fee schedule · outpatient	$868.88	$868.88	$868.88 – $868.88
10	Clover hmo ma fee schedule · outpatient	$877.31	$877.31	$877.31 – $877.31
11	Clover ppo ma fee schedule · outpatient	$877.31	$877.31	$877.31 – $877.31
12	Humana medicaid fee schedule · outpatient	$1,339	$1,339	$1,339 – $1,339
13	Molina medicaid fee schedule · outpatient	$1,339	$1,339	$1,339 – $1,339
14	Molina marketplace fee schedule · outpatient	$1,392	$1,392	$1,392 – $1,392
15	Bcbs Sc blue choice blue option hix (bcbo) fee schedule · outpatient	$1,499	$1,499	$1,499 – $1,499
16	Bcbs Sc blue cross blue essentials hix (bcbe) fee schedule · outpatient	$1,499	$1,499	$1,499 – $1,499
17	Bcbs Sc blue choice health plan commercial (bchp) fee schedule · outpatient	$2,881	$2,881	$2,881 – $2,881
18	Bcbs Sc preferred blue commercial (pb) fee schedule · outpatient	$2,881	$2,881	$2,881 – $2,881
19	UnitedHealthcare exchange plan case rate · outpatient	$4,877	$4,877	$4,877 – $4,877
20	UnitedHealthcare all other plans case rate · outpatient	$9,900	$9,900	$9,900 – $9,900
21	UnitedHealthcare options ppo case rate · outpatient	$12,403	$12,403	$12,403 – $12,403

Last updated: Mar 10, 2026

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