Endoscopy with injection treatment of esophageal varices 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 EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $749 is 65% below the median hospital's median price ($2.1k), higher than 16% of the 1,724 hospitals reporting CPT 43243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43243 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	$211	$211	—	—	—	$211 – $211
2	Molina medicare advantage fee schedule · both	$215	$215	—	—	—	$215 – $215
3	Wellmark medicare advantage fee schedule · both	$215	$215	—	—	—	$215 – $215
4	Humana medicare advantage fee schedule · both	$222	$222	—	—	—	$222 – $222
5	UnitedHealthcare medicare advantage fee schedule · both	$222	$222	—	—	—	$222 – $222
6	Wellmark commercial fee schedule · both	$452	$452	—	—	—	$452 – $452
7	Wellmark hmo fee schedule · both	$452	$452	—	—	—	$452 – $452
8	Wellmark ppo fee schedule · both	$532	$532	—	—	—	$532 – $532
9	Aetna hmo fee schedule · both	$560	$560	—	—	—	$560 – $560
10	Cigna commercial fee schedule · both	$565	$565	—	—	—	$565 – $565
11	Aetna ppo fee schedule · both	$682	$682	—	—	—	$682 – $682
12	UnitedHealthcare hmo fee schedule · both	$749	$749	—	—	—	$749 – $749
13	UnitedHealthcare ppo fee schedule · both	$749	$749	—	—	—	$749 – $749
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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