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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in FL

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Hospitals
5
Min
$778.83
Median
$2,337.66
Max
$2,851.04
Range multiplier
3.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26$362.77$969.33$11,69832.2×
UnitedHealthcare26$741.74$950.51$6,066.088.2×
Humana25$251.15$969.33$6,066.0824.2×
Multiplan44$463.23$2,767.31$3,041.116.6×
quik trip33$2,337.66$2,851.04$2,851.041.2×
prime health services33$2,649.35$3,231.18$3,231.181.2×
Medicare23$778.83$941.1$941.11.2×
usa managed care organization33$2,337.66$2,851.04$2,851.041.2×
velocity provider ppo network33$2,337.66$2,851.04$2,851.041.2×
aarp mcr hmo12$941.1$941.1$941.11.0×
Ambetter12$1,552.82$1,552.82$1,552.821.0×
america's choice provider network22$2,660.97$2,660.97$2,660.971.0×
blue mcr replacement12$941.1$941.1$941.11.0×
Cigna12$368.35$581$793.662.2×
facility billing - op12$941.1$941.1$941.11.0×
healthspring mcr replacement12$950.51$955.22$959.921.0×
Medicaid12$334.86$3,200.47$6,066.0818.1×
occunet12$1,741.04$1,929.26$2,117.471.2×
Oscar Health12$1,505.76$1,505.76$1,505.761.0×
smarthealth12$950.51$950.51$950.511.0×
triwest12$941.1$941.1$941.11.0×
WellCare12$941.1$941.1$941.11.0×
freedom health mcr op rate11$778.83$778.83$778.831.0×
freedom pointe op rate11$741.74$741.74$741.741.0×
hcra op rate11$41.06$41.06$41.061.0×
ultimate health plan op rate11$793.66$793.66$793.661.0×
beechstreet commercial op rate11$390.67$390.67$390.671.0×
hygeia op rate11$491.13$491.13$491.131.0×
unicare op rate11$446.48$446.48$446.481.0×
bc traditional op rate11$1,591.2$1,591.2$1,591.21.0×
bc ppo op rate11$1,369.68$1,369.68$1,369.681.0×
bc blue select op rate11$895.44$895.44$895.441.0×
america's choice11$2,181.82$2,181.82$2,181.821.0×
phcs op rate11$463.23$463.23$463.231.0×
preferred care partners op rate11$778.83$778.83$778.831.0×
prestige health choice op rate11$6,066.08$6,066.08$6,066.081.0×
bc network blue op rate11$1,160.64$1,160.64$1,160.641.0×
provider network of america11$2,337.66$2,337.66$2,337.661.0×
bc health options op rate11$1,095.12$1,095.12$1,095.121.0×
select specialty hospital op rate11$778.83$778.83$778.831.0×
seven corners op rate11$1,483.48$1,483.48$1,483.481.0×
allwell op rate11$778.83$778.83$778.831.0×
southcare op rate11$513.46$513.46$513.461.0×
care plus health plans op rate11$771.41$771.41$771.411.0×
sunshine state health plan op rate11$6,066.08$6,066.08$6,066.081.0×
clear health alliance op rate11$6,066.08$6,066.08$6,066.081.0×
devoted health op rate11$778.83$778.83$778.831.0×
employers health network op rate11$334.86$334.86$334.861.0×
evolutions healthcare system11$2,493.5$2,493.5$2,493.51.0×
wellpath op rate11$1,223.87$1,223.87$1,223.871.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL14$941.1$950.51$11,698
THE VILLAGES TRI-COUNTY MEDICAL CENTTHE VILLAGESFL33$334.86$41.06$778.83$6,066.08
PAM HEALTH REHAB HOSPITAL OF TAVARESTAVARESFL6$3,801.39$3,801.39$2,660.97$2,851.04$3,231.18
PAM HEALTH REHAB HOSPITAL OF JUPITERJUPITERFL6$3,801.39$3,801.39$2,660.97$2,851.04$3,231.18
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL9$3,116.88$3,116.88$2,181.82$2,337.66$2,649.35

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.