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Upper Endoscopic Ultrasound with Biopsy

HCPCS 43242

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum and a portion of the jejunum, or the duodenum or a portion of the jejunum, and adjacent structures)

AI EXPLANATION: An upper endoscopic ultrasound with biopsy is an outpatient procedure that evaluates the lining and walls of the upper digestive tract, including the esophagus, stomach, and the first part of the small intestine. A doctor passes a thin, flexible tube with an ultrasound probe attached through the mouth and down the throat. Sound waves generate detailed images of the digestive organs and nearby tissues, allowing the specialist to pinpoint abnormalities and collect small tissue or fluid samples using a specialized needle.

Across 9 hospitals, negotiated prices for this code range from $777 to $8,538. Each dot below is one payer and plan's rate as published by the hospital.

$0$2.5k$5k$7.5k$9k
AdventHealth Castle Rock
AdventHealth Littleton
AdventHealth Parker
Craig Hospital
HCA HealthONE Centennial
HCA HealthONE Sky Ridge
HCA HealthONE South Parker ER
HCA HealthONE Swedish
UCHealth Highlands Ranch Hospital

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AdventHealth Castle Rock CASTLE ROCK, CO, 8010920 plans ▾: $1,291.20 to $2,627.35See details ›
AdventHealth Littleton LITTLETON, CO, 8012219 plans ▾: $1,286.40 to $2,351.97See details ›
AdventHealth Parker PARKER, CO, 8013820 plans ▾: $1,291.20 to $2,627.35See details ›
HCA HealthONE Centennial CENTENNIAL, CO, 8011214 plans ▾: $1,597.60 to $7,898.10See details ›
HCA HealthONE Sky Ridge LONE TREE, CO, 8012414 plans ▾: $1,597.60 to $7,898.10See details ›
HCA HealthONE South Parker ER PARKER, CO, 8013414 plans ▾: $1,597.60 to $7,898.10See details ›
HCA HealthONE Swedish ENGLEWOOD, CO, 8011314 plans ▾: $1,597.60 to $7,898.10See details ›
UCHealth Highlands Ranch Hospital HIGHLANDS RANCH, CO, 8012931 plans ▾ $2,204.70: $1,906.44 to $6,166.00See details ›
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