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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in CA

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Hospitals
39
Min
$364
Median
$1,160.81
Max
$5,603
Range multiplier
15.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield36127$204.47$2,401.65$61,772302.1×
Anthem BCBS31113$204.47$1,333$10,96553.6×
UnitedHealthcare2582$405.42$4,359.5$252,199622.1×
Medicaid2373$318.26$567.59$2,025.16.4×
Aetna3259$204.47$2,272$30,886151.1×
Medicare3147$204.47$1,142.58$3,541.117.3×
Health Net1647$224.87$1,160.81$4,20918.7×
Kaiser Permanente2944$204.47$1,007.51$2,334.0511.4×
Cigna2140$133.12$4,159$9,34470.2×
Molina1027$321.48$1,160.81$61,772192.1×
Humana2325$204.47$1,043.66$8,86443.4×
brand new day612$1,172.42$1,456.82$1,741.221.5×
TRICARE611$1,160.81$1,160.81$1,160.811.0×
Empire BCBS28$466.15$1,160.81$1,451.013.1×
citrus valley physicians group26$1,160.81$1,160.81$1,160.811.0×
traditional medi-cal66$321.48$321.48$321.481.0×
ucsd [807]16$522.29$716.7$731.21.4×
aids healthcare foundation26$321.48$1,160.81$1,184.033.7×
emanate health26$1,160.81$1,160.81$2,321.622.0×
employer direct healthcare55$1,625.13$1,625.13$1,625.131.0×
First Health55$817.88$1,483.32$4,0474.9×
renal payer solutions55$1,160.81$1,160.81$1,160.811.0×
commercial | hill physicians | all plans55$1,142.58$1,142.58$1,142.581.0×
Bright Health44$882$1,135.1$1,249.531.4×
community health group24$1,981.81$2,419.44$2,917.561.5×
alignment44$1,160.81$1,160.81$1,160.811.0×
vantage care24$321.48$741.15$1,160.813.6×
naphcare34$1,799.26$1,799.26$1,799.261.0×
Multiplan44$224.87$1,111.2$1,483.326.6×
commercial | connected care intel | all plans33$7,009$7,009$8,8641.3×
managed health network33$1,160.81$1,160.81$2,668.52.3×
blue card (out of state) [40000]13$277.71$277.71$466.521.7×
l.a care health plan13$321.48$1,160.81$1,160.813.6×
la care health plan13$321.48$1,160.81$1,160.813.6×
claritev [13400]13$283.71$403.2$403.21.4×
umr [17000]13$448.86$614.31$614.311.4×
shca comm intel [20300000]13$277.71$277.71$466.521.7×
beech st [10600]13$283.71$403.2$403.21.4×
imperial health plan of ca33$1,230.46$1,230.46$1,230.461.0×
commercial | mhn | all plans33$1,033.55$1,235.5$1,235.51.2×
central health plan33$1,160.81$1,160.81$1,160.811.0×
american specialty health plan alt payer [971000000]13$667.38$765.26$765.261.1×
health plan of san mateo [31200]13$140.08$196.11$196.111.4×
private healthcare systems (phcs) [14200]13$283.71$403.2$403.21.4×
indian health council23$1,209.72$2,739.66$2,917.562.4×
commercial | epic health | all plans22$1,348.05$1,348.05$1,348.051.0×
elite health plan22$1,160.81$1,160.81$1,160.811.0×
interplan22$1.15$854.5$1,707.841485.1×
corvel22$1,323.32$1,388.03$1,452.731.1×
commercial | valley care ipa | all plans22$991$991$9911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. BERNARDINE MEDICAL CENTERSAN BERNARDINOCA11$405.42$999$19,284
ST ELIZABETH COMMUNITY HOSPTIALRED BLUFFCA7$446.86$983.94$1,285.91
MERCY MEDICAL CENTER MERCEDMERCEDCA9$357.41$982.43$12,552
ST. MARY MEDICAL CENTERAPPLE VALLEYCA11$337.55$968.65$7,322
COMMUNITY HOSPITAL OF SAN BERNARDINOSAN BERNARDINOCA13$405.42$961.95$9,063
PACIFICA HOSPITAL OF THE VALLEYSUN VALLEYCA13$61,772$61,772$672$861$61,772
SCRIPPS MERCY HOSPITALSAN DIEGOCA13$2,901.6$725.4$522.29$731.2$2,486.67
MARK TWAIN MEDICAL CENTERSAN ANDREASCA12$889$622.3$204.47$632.48$871.22
DOMINICAN HOSPITALSANTA CRUZCA9$405.42$5,603$10,965
METHODIST HOSPITAL OF SACRAMENTOSACRAMENTOCA11$405.42$4,530$11,836
STANFORD HEALTH CARESTANFORDCA14$1,607$803.5$133.12$403.2$765.26
MERCY MEDICAL CENTER MT. SHASTAMT. SHASTACA7$364$364$1,285.91
MERCY HOSPITAL OF FOLSOMFOLSOMCA10$405.42$3,143.69$10,296
ARROYO GRANDE COMMUNITY HOSPITALARROYO GRANDECA9$405.42$3,137$10,920
MARIAN MEDICAL CENTERSANTA MARIACA10$405.42$3,137$9,264
WOODLAND HEALTHCAREWOODLANDCA7$405.42$2,720.68$6,280
ST. JOHNS REGIONAL MEDICAL CENTEROXNARDCA11$490.56$2,641.05$16,750
GROSSMONT HOSPITALLA MESACA3$3,558$2,668.5$1,779$2,535.08$2,917.56
MERCY SAN JUAN MEDICAL CENTERCARMICHAELCA11$405.42$2,365.92$252,199
SHARP CHULA VISTA MEDICAL CENTERCHULA VISTACA11$3,558$2,668.5$1.15$2,315.19$2,917.56
SHARP MEMORIAL HOSPITALSAN DIEGOCA17$3,558$2,668.5$1.15$2,152.59$2,917.56
ST. JOHNS PLEASANT VALLEY HOSPITALCAMARILLOCA11$405.42$2,025.1$16,750
GLENDALE MEMORIAL HOSPITAL & HLTH CTGLENDALECA6$369.7$1,984.2$7,244
CENTRAL VALLEY SPECIALTY HOSPITALMODESTOCA6$2,592$2,592$648$1,944$2,203.2
MERCY GENERAL HOSPITALSACRAMENTOCA11$405.42$1,703.91$18,443
SAINT FRANCIS MEMORIAL HOSPITALSAN FRANCISCOCA15$395.26$1,459.18$8,443
SEQUOIA HOSPITALREDWOOD CITYCA12$388.13$1,244.53$10,333
ST. MARYS MEDICAL CENTERSAN FRANCISCOCA13$388.13$1,235.5$8,811
GARDEN GROVE HOSPITAL MEDICAL CENTERGARDEN GROVECA19$6,196.8$1,160$321.48$1,160.81$1,799.26
ENCINO HOSPITALENCINOCA27$2,230.47$1,160$321.48$1,160.81$1,741.22
HUNTINGTON BEACH HOSPITALHUNTINGTON BEACHCA16$6,196.8$1,160$321.48$1,160.81$1,741.22
CHINO VALLEY MEDICAL CENTERCHINOCA25$6,026.29$1,160$321.48$1,160.81$2,321.62
SHERMAN OAKS HOSPITAL-HLTHSHERMAN OAKSCA30$2,112$1,160$321.48$1,160.81$1,799.26
MONTCLAIR HOSPITAL MEDICAL CENTERMONTCLAIRCA24$10,179$1,160$321.48$1,160.81$2,321.62
SIERRA NEVADA MEMORIAL HOSPITALGRASS VALLEYCA9$405.42$1,142.58$11,058
ST. JOSEPHS BEHAVIORAL HLTH CENTERSTOCKTONCA2$1,081.3$1,081.3$1,081.3
ST. JOSEPHS MEDICAL CENTERSTOCKTONCA2$1,081.3$1,081.3$1,081.3
BAKERSFIELD MEMORIAL HOSPITALBAKERSFIELDCA11$405.42$1,037.66$9,954
NORTHRIDGE MEDICAL CENTER - ROSCOENORTHRIDGECA12$385.77$1,033.55$11,879

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.