Flexible scope exam of the esophagus with submucosal injection at St Luke's Methodist 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

PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $323 is 84% below the median hospital's median price ($2.1k), higher than 12% of the 1,692 hospitals reporting CPT 43201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43201 at St Luke's Methodist Hospital

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	$93	$93	—	—	—	$93 – $93
2	Molina medicare advantage fee schedule · both	$95	$95	—	—	—	$95 – $95
3	Wellmark medicare advantage fee schedule · both	$95	$95	—	—	—	$95 – $95
4	Humana medicare advantage fee schedule · both	$97	$97	—	—	—	$97 – $97
5	UnitedHealthcare medicare advantage fee schedule · both	$97	$97	—	—	—	$97 – $97
6	Wellmark commercial fee schedule · both	$198	$198	—	—	—	$198 – $198
7	Wellmark hmo fee schedule · both	$198	$198	—	—	—	$198 – $198
8	Wellmark ppo fee schedule · both	$233	$233	—	—	—	$233 – $233
9	Cigna commercial fee schedule · both	$247	$247	—	—	—	$247 – $247
10	Aetna hmo fee schedule · both	$249	$249	—	—	—	$249 – $249
11	Aetna ppo fee schedule · both	$303	$303	—	—	—	$303 – $303
12	UnitedHealthcare hmo fee schedule · both	$323	$323	—	—	—	$323 – $323
13	UnitedHealthcare ppo fee schedule · both	$323	$323	—	—	—	$323 – $323
14	Aetna medicare advantage case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
15	Molina medicare advantage case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
16	Wellmark medicare advantage case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
17	Humana medicare advantage case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
18	UnitedHealthcare medicare advantage case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
19	Aetna hmo fee schedule · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k
20	Aetna ppo fee schedule · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k
21	UnitedHealthcare hmo fee schedule · outpatient	$4.7k	$4.7k	—	—	—	$4.7k – $4.7k
22	UnitedHealthcare ppo fee schedule · outpatient	$4.7k	$4.7k	—	—	—	$4.7k – $4.7k

Last updated: Jan 28, 2026

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