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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in CO

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Hospitals
3
Min
$497.16
Median
$840.48
Max
$1,290.00
Range multiplier
2.6×

By payer (13 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield24$571.86$1,056.79$1,876.003.3×
UnitedHealthcare23$1,271.00$1,271.00$3,000.002.4×
employer direct healthcare11$488.00$488.00$488.001.0×
Humana11$804.58$804.58$804.581.0×
negotiated charge11$514.31$514.31$514.311.0×
presbyterian of nm: mcd11$571.86$571.86$571.861.0×
presbyterian of nm: mcr ppo11$804.58$804.58$804.581.0×
prime health services work comp11$1,427.64$1,427.64$1,427.641.0×
rocky mountain health plan: mcd11$876.37$876.37$876.371.0×
southwest health alliance11$1,590.40$1,590.40$1,590.401.0×
allsavers op11$3,000.00$3,000.00$3,000.001.0×
Workers Comp11$1,328.29$1,328.29$1,328.291.0×
charge amount11$480.00$480.00$480.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Animas Surgical HospitalDurangoCO11$1,590.40$488.00$840.48$3,000.00
Pioneers Medical CenterMeekerCO2$384.00$480.00$497.16$514.31
Mt. San Rafael HospitalTrinidadCO2$2,084.00$1,459.00$1,271.00$1,290.00$1,876.00

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.