▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in GA
Hospitals
8
Min
$264.60
Median
$969.33
Max
$1,159.00
Range multiplier
4.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 5 | 19 | $58.84 | $1,816.56 | $3,206.44 | 54.5× |
| Aetna | 6 | 19 | $226.80 | $999.27 | $11,584 | 51.1× |
| UnitedHealthcare | 6 | 18 | $1.00 | $905.26 | $2,305.50 | 2305.5× |
| Cigna | 5 | 14 | $1.00 | $1,655.86 | $2,846.20 | 2846.2× |
| Humana | 6 | 13 | $127.31 | $860.00 | $1,265.00 | 9.9× |
| WellCare | 5 | 11 | $252.00 | $793.57 | $1,049.24 | 4.2× |
| First Health | 3 | 9 | $239.40 | $2,517.50 | $3,420.00 | 14.3× |
| CareSource | 3 | 7 | $659.61 | $832.47 | $1,584.21 | 2.4× |
| Health Net | 1 | 6 | $127.31 | $625.64 | $2,570.50 | 20.2× |
| Medicaid | 1 | 4 | $1.00 | $209.54 | $844.14 | 844.1× |
| Ambetter | 3 | 4 | $1,040.54 | $1,296.68 | $1,552.82 | 1.5× |
| banner health | 1 | 3 | $127.31 | $252.00 | $999.27 | 7.8× |
| peach state | 1 | 3 | $12.84 | $932.42 | $1,086.31 | 84.6× |
| Oscar Health | 2 | 3 | $1,176.84 | $1,505.76 | $1,505.76 | 1.3× |
| devoted health | 2 | 3 | $267.12 | $932.42 | $1,059.23 | 4.0× |
| arizona medical network | 1 | 2 | $252.00 | $625.64 | $999.27 | 4.0× |
| alliant op rate | 2 | 2 | $1,900.00 | $1,900.00 | $1,900.00 | 1.0× |
| amerigroup op rate | 2 | 2 | $579.22 | $693.50 | $807.77 | 1.4× |
| beech street op rate | 2 | 2 | $3,420.00 | $3,420.00 | $3,420.00 | 1.0× |
| blue mcr replacement | 1 | 2 | $941.10 | $941.10 | $941.10 | 1.0× |
| bridgeway health solutions | 1 | 2 | $252.00 | $625.64 | $999.27 | 4.0× |
| dodge cty op rate | 2 | 2 | $912.00 | $912.00 | $912.00 | 1.0× |
| facility billing - op | 1 | 2 | $941.10 | $941.10 | $941.10 | 1.0× |
| health choice pathway | 1 | 2 | $252.00 | $625.64 | $999.27 | 4.0× |
| health management network | 1 | 2 | $252.00 | $625.64 | $999.27 | 4.0× |
| healthspring mcr replacement | 1 | 2 | $950.51 | $955.22 | $959.92 | 1.0× |
| imperial insurance | 1 | 2 | $264.60 | $656.92 | $1,049.24 | 4.0× |
| Medicare Advantage | 1 | 2 | $941.10 | $941.10 | $941.10 | 1.0× |
| occunet | 1 | 2 | $1,741.04 | $1,929.26 | $2,117.47 | 1.2× |
| phcs op rate | 2 | 2 | $3,496.00 | $3,496.00 | $3,496.00 | 1.0× |
| riverwood behavioral health | 1 | 2 | $905.26 | $1,018.42 | $1,131.58 | 1.3× |
| rural arizona network | 1 | 2 | $252.00 | $625.64 | $999.27 | 4.0× |
| secure health op rate | 2 | 2 | $1,900.00 | $1,900.00 | $1,900.00 | 1.0× |
| smarthealth | 1 | 2 | $1,317.54 | $1,317.54 | $1,317.54 | 1.0× |
| sonder health plan | 1 | 2 | $950.52 | $950.52 | $950.52 | 1.0× |
| united mine workers of america | 1 | 2 | $252.00 | $625.64 | $999.27 | 4.0× |
| Multiplan | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| naphcare | 1 | 1 | $1,403.15 | $1,403.15 | $1,403.15 | 1.0× |
| novanet | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| TRICARE | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| care 1st | 1 | 1 | $127.31 | $127.31 | $127.31 | 1.0× |
| acchs | 1 | 1 | $127.31 | $127.31 | $127.31 | 1.0× |
| peach state health plan op rate | 1 | 1 | $648.17 | $648.17 | $648.17 | 1.0× |
| peach state hp op rate | 1 | 1 | $817.51 | $817.51 | $817.51 | 1.0× |
| employer direct healthcare | 1 | 1 | $1,267.36 | $1,267.36 | $1,267.36 | 1.0× |
| georgia workers’ compensation | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| health choice | 1 | 1 | $133.68 | $133.68 | $133.68 | 1.0× |
| americas choice provider network | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| prime health services | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
| corvel | 1 | 1 | $905.26 | $905.26 | $905.26 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Marys Sacred Heart Hospital | Lavonia | GA | 12 | — | — | $941.10 | $969.33 | $11,584 |
| Southern Regional Medical Center | Riverdale | GA | 26 | $4,131.95 | $905.00 | $12.84 | $905.26 | $2,297.20 |
| Dodge County Hospital | Eastman | GA | 6 | $1,582.27 | — | $1.00 | $790.92 | $1,700.00 |
| West Central Ga Regional Hospital | Columbus | GA | 22 | $2,650.00 | $1,966.30 | $127.31 | $264.60 | $2,570.50 |
| Perry Hospital | Perry | GA | 16 | — | $1,672.30 | $579.22 | $1,159.00 | $3,496.00 |
| Houston Medical Center | Warner Robins | GA | 16 | — | $1,672.30 | $743.25 | $1,159.00 | $3,496.00 |
| Southwell Medical | Adel | GA | 0 | $2,188.00 | $1,094.00 | — | — | — |
| Union General Hospital | Blairsville | GA | 0 | — | — | — | — | — |
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.