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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
$1,804.80
Range multiplier
16.9×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare829$106.59$1,880.00$3,822.0035.9×
Cigna625$214.20$1,816.00$3,628.0016.9×
Blue Cross Blue Shield621$214.46$1,530.46$3,560.9216.6×
Aetna719$106.59$849.00$2,413.0022.6×
Humana714$127.31$840.15$2,676.0021.0×
Medicare512$797.31$826.27$878.001.1×
WellCare26$106.59$258.30$1,049.249.8×
Health Net16$127.31$625.64$2,570.5020.2×
First Health26$239.40$724.62$2,517.5010.5×
Medicaid55$129.60$129.60$601.634.6×
commercial | connected care | intel44$2,255.00$2,255.00$3,016.001.3×
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$252.00$999.277.8×
devoted health12$267.12$663.18$1,059.234.0×
amount12$450.00$1,165.00$1,880.004.2×
arizona medical network12$252.00$625.64$999.274.0×
bridgeway health solutions12$252.00$625.64$999.274.0×
de-identified max12$414.00$1,071.80$1,729.604.2×
de-identified min12$315.00$815.50$1,316.004.2×
eff date12$43,481$43,549$43,6171.0×
health choice pathway12$252.00$625.64$999.274.0×
health management network12$252.00$625.64$999.274.0×
imperial insurance12$264.60$656.92$1,049.244.0×
rural arizona network12$252.00$625.64$999.274.0×
the health plan12$91.62$99.11$106.591.2×
commercial | azfmc | pos11$849.00$849.00$849.001.0×
commercial | azfmc | all other plans11$849.00$849.00$849.001.0×
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$849.00$594.30$208.34$848.47$856.24
Yavapai Regional Medical CenterPrescottAZ21$2,650.00$1,966.30$127.31$264.60$2,570.50
Mt. Graham Regional Medical CenterSaffordAZ7$3,400.00$1,316.00$315.00$1,804.80$43,617
St. Josephs Hospital & Medical CtrPhoenixAZ10$129.60$1,764.05$3,822.00
Mercy Gilbert Medical CenterGilbertAZ10$129.60$1,709.46$3,146.57
Chandler Regional Medical CenterChandlerAZ10$129.60$1,709.46$3,146.57
Carondelet St. Joseph HospitalTucsonAZ10$601.63$1,496.73$3,183.72
Santa Cruz Valley Regional HospitalGreen ValleyAZ7$1,039.00$623.40$91.62$106.59$175.87
Abrazo West CampusGoodyearAZ0$2,890.00$635.80

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.