Upper endoscopy with tissue sample at University Medical Center of Southern Nevada

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 TRANSORAL BIOPSY SINGLE/MULTIPLE

Las Vegas, NV

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Pricing by billing methodology

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How this price compares nationally

University Medical Center of Southern Nevada’s median price of $445 is 62% below the median hospital's median price ($1.2k), higher than 13% 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 University Medical Center of Southern Nevada

Negotiated rates from the hospital’s own file: 8 payers, 58 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	Molina medicaid fee schedule · both	$140.83	$140.83	$140.83 – $140.83
2	Bcbs Nv medicare advantage hmo fee schedule · both	$141.60	$209.47	$131.16 – $355.64
3	Bcbs Nv medicare advantage ppo fee schedule · both	$141.60	$209.47	$131.16 – $355.64
4	Aetna generic fee schedule · both	$295.75	$317.64	$145.59 – $533.46
5	Aetna hmo fee schedule · both	$295.75	$317.64	$145.59 – $533.46
6	Aetna meritain fee schedule · both	$295.75	$317.64	$145.59 – $533.46
7	Aetna ppo fee schedule · both	$295.75	$317.64	$145.59 – $533.46
8	Aetna src student fee schedule · both	$295.75	$317.64	$145.59 – $533.46
9	First Health all plans fee schedule · both	$297.53	$318.86	$146.90 – $533.46
10	UnitedHealthcare all plans fee schedule · both	$321.85	$321.85	$321.85 – $321.85
11	UnitedHealthcare generic fee schedule · both	$321.85	$321.85	$321.85 – $321.85
12	UnitedHealthcare golden rule fee schedule · both	$321.85	$321.85	$321.85 – $321.85
13	UnitedHealthcare oxford health fee schedule · both	$321.85	$321.85	$321.85 – $321.85
14	UnitedHealthcare umr fee schedule · both	$321.85	$321.85	$321.85 – $321.85
15	Bcbs Nv anthem medicaid case rate · both	$329.44	$329.44	$329.44 – $329.44
16	Bcbs Nv anthem medicaid case rate · outpatient	$329.44	$329.44	$329.44 – $329.44
17	Ambetter commercial exchange plan fee schedule · both	$360.24	$360.24	$194.12 – $526.35
18	Aetna medicare managed care fee schedule · both	$243.40	$409.65	$115.64 – $1,036
19	Molina medicare advantage fee schedule · both	$248.62	$416.14	$131.16 – $1,036
20	UnitedHealthcare medicare advantage ppo fee schedule · both	$355.64	$507.66	$131.16 – $1,036
21	UnitedHealthcare medicare solutions hmo fee schedule · both	$355.64	$507.66	$131.16 – $1,036
22	Molina marketplace fee schedule · both	$384.73	$558.61	$196.74 – $1,534
23	Cigna all plans fee schedule · both	$563.41	$563.41	$294.18 – $832.63
24	Kaiser hawaii fee schedule · both	$563.41	$563.41	$294.18 – $832.63
25	Kaiser northern ca fee schedule · both	$563.41	$563.41	$294.18 – $832.63

Page 1 of 3 · 58 rates

Last updated: Jul 1, 2026

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