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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 7 hospitals, negotiated prices for this code range from $293 to $12,465. Each dot below is one payer and plan's rate as published by the hospital.

$0$5k$10k$12.5k
Montefiore Hospital Moses Campus
Montefiore Hutchinson Campus
Montefiore Jack D. Weiler Hospital
Montefiore Wakefield Campus
Montefiore Westchester Square Campus
Saint Barnabas Hospital Health System
The Children's Hospital at Montefiore

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Montefiore Hospital Moses Campus BRONX, NY, 1046719 plans ▾: $3,823.40 to $12,261.80See details ›
Montefiore Hutchinson Campus BRONX, NY, 1046119 plans ▾: $3,823.40 to $12,261.80See details ›
Montefiore Jack D. Weiler Hospital BRONX, NY, 1046119 plans ▾: $3,823.40 to $12,261.80See details ›
Montefiore Wakefield Campus BRONX, NY, 1046619 plans ▾: $3,823.40 to $12,261.80See details ›
Montefiore Westchester Square Campus BRONX, NY, 1046119 plans ▾: $3,823.40 to $12,261.80See details ›
Saint Barnabas Hospital Health System BRONX, NY, 1045731 plans ▾: $1,409.00 to $2,317.78See details ›
The Children's Hospital at Montefiore BRONX, NY, 1046719 plans ▾: $3,823.40 to $12,261.80See details ›
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