Upper endoscopy with submucosal injection at St Helena 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.

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

Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $182 is 84% below the median hospital's median price ($1.2k), higher than 5% of the 2,120 hospitals reporting CPT 43236. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43236 at St Helena Hospital

Negotiated rates from the hospital’s own file: 7 payers, 17 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	Medicaid medi-cal fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
2	Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
3	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
4	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
5	Kaiser kaiser mcr adv fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
6	Kaiser kaiser-all other plans fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
7	Cigna cigna-all other plans fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
8	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
9	UnitedHealthcare uhc jll fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
10	UnitedHealthcare uhc options ppo fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
11	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
12	Aetna aetna-all plans fee schedule · outpatient	$261	$261	—	—	—	$261 – $261
13	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$283	$283	—	—	—	$283 – $283
14	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
15	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
16	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$693	$693	—	—	—	$693 – $693
17	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$732	$732	—	—	—	$732 – $732

Last updated: Jul 15, 2026

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