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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in AZ

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Hospitals
9
Min
$106.59
Median
$1,709.46
Max
$1,804.8
Range multiplier
16.9×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare829$106.59$1,880$3,82235.9×
Cigna625$214.2$1,816$3,62816.9×
Blue Cross Blue Shield621$214.46$1,530.46$3,560.9216.6×
Aetna719$106.59$849$2,41322.6×
Humana714$127.31$840.15$2,67621.0×
Medicare512$797.31$826.27$8781.1×
WellCare26$106.59$258.3$1,049.249.8×
Health Net16$127.31$625.64$2,570.520.2×
First Health26$239.4$724.62$2,517.510.5×
Medicaid55$129.6$129.6$601.634.6×
commercial | connected care | intel44$2,255$2,255$3,0161.3×
commercial | az foundation | pos44$1,323.72$1,323.72$1,424.841.1×
commercial | az foundation | ppo44$1,323.72$1,323.72$1,424.841.1×
banner health13$127.31$252$999.277.8×
devoted health12$267.12$663.18$1,059.234.0×
amount12$450$1,165$1,8804.2×
arizona medical network12$252$625.64$999.274.0×
bridgeway health solutions12$252$625.64$999.274.0×
de-identified max12$414$1,071.8$1,729.64.2×
de-identified min12$315$815.5$1,3164.2×
eff date12$43,481$43,549$43,6171.0×
health choice pathway12$252$625.64$999.274.0×
health management network12$252$625.64$999.274.0×
imperial insurance12$264.6$656.92$1,049.244.0×
rural arizona network12$252$625.64$999.274.0×
the health plan12$91.62$99.11$106.591.2×
commercial | azfmc | pos11$849$849$8491.0×
commercial | azfmc | all other plans11$849$849$8491.0×
arizona complete health11$127.31$127.31$127.311.0×
caresoure kentucky11$175.87$175.87$175.871.0×
care 1st11$127.31$127.31$127.311.0×
mercy care11$133.68$133.68$133.681.0×
Multiplan11$693.63$693.63$693.631.0×
dmba deseret alliance11$494.15$494.15$494.151.0×
optum ccn region 111$106.59$106.59$106.591.0×
acchs11$127.31$127.31$127.311.0×
health choice11$133.68$133.68$133.681.0×
optum ccn region 211$106.59$106.59$106.591.0×
Bright Health11$208.34$208.34$208.341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ARIZONA GENERAL HOSPITALLAVEENAZ12$849$594.3$208.34$848.47$856.24
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ21$2,650$1,966.3$127.31$264.6$2,570.5
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ7$3,400$1,316$315$1,804.8$43,617
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ10$129.6$1,764.05$3,822
MERCY GILBERT MEDICAL CENTERGILBERTAZ10$129.6$1,709.46$3,146.57
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ10$129.6$1,709.46$3,146.57
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ10$601.63$1,496.73$3,183.72
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ7$1,039$623.4$91.62$106.59$175.87
ABRAZO WEST CAMPUSGOODYEARAZ0$2,890$635.8

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.