Upper endoscopy with brushing and washing at Wheeling Hospital, Inc.

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

DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE

Wheeling, WV

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Pricing by billing methodology

Price type

How this price compares nationally

Wheeling Hospital, Inc.’s median price of $917 is 19% below the median hospital's median price ($1.1k), higher than 30% of the 2,434 hospitals reporting CPT 43235. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43235 at Wheeling Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 26 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	Highmark chip facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
2	Highmark mgd mcaid facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
3	Aetna better health mgd medicaid facility · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
4	Aetna Better Health chip facility · fee schedule · outpatient	$116	$116	$9	8%	—	$107 – $125
5	UnitedHealthcare unison kids facility · fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
6	Caresource managed medicaid facility · other · outpatient	$485	$485	—	—	1–10	$485 – $485
7	Molina managed medicaid facility · other · outpatient	$485	$485	—	—	1–10	$485 – $485
8	Anthem managed medicaid facility · other · outpatient	$507	$507	—	—	1–10	$507 – $507
9	Amerihealth Caritas managed medicaid facility · other · outpatient	$509	$509	—	—	1–10	$509 – $509
10	Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient	$567	$567	—	—	—	$567 – $567
11	Anthem anthem pathway facility · other · outpatient	$873	$873	—	—	—	$873 – $873
12	Caresource all plans facility · other · outpatient	$873	$873	—	—	—	$873 – $873
13	Molina all plans facility · other · outpatient	$873	$873	—	—	—	$873 – $873
14	Molina molina oh exchange facility · percent of total billed charges · outpatientfrom % of charges	$892	$892	—	—	1–10	$892 – $892
15	Anthem hmo facility · other · outpatient	$899	$899	—	—	—	$899 – $899
16	Highmark all pla facility · other · outpatient	$899	$899	—	—	—	$899 – $899
17	Highmark all plans facility · other · outpatient	$908	$908	—	—	—	$908 – $908
18	Aetna all plans facility · other · outpatient	$917	$917	—	—	—	$917 – $917
19	Humana all plans facility · other · outpatient	$917	$917	—	—	—	$917 – $917
20	UnitedHealthcare all plans facility · other · outpatient	$952	$952	—	—	—	$952 – $952
21	Caresource caresource oh exchange facility · other · outpatient	$960	$960	—	—	—	$960 – $960
22	UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
23	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
24	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	1–10	$2.5k – $2.5k
25	Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k

Page 1 of 2 · 26 rates

Last updated: Jul 9, 2026

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