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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in IA

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Hospitals
24
Min
$234.20
Median
$456.35
Max
$2,955.00
Range multiplier
12.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare18100$115.17$833.23$3,242.0028.1×
Blue Cross Blue Shield1893$109.69$275.60$2,311.3521.1×
Aetna1578$109.69$359.20$2,428.8322.1×
medica341$229.87$851.55$2,335.6810.2×
Humana1731$109.69$369.37$1,046.199.5×
Cigna1525$293.06$293.06$3,500.0011.9×
health partners open network1424$253.88$253.88$1,712.066.7×
amerigroup1623$315.69$890.15$1,098.503.5×
Molina1121$111.88$881.72$2,568.0023.0×
amerivantage1121$109.69$115.17$984.449.0×
one world318$824.64$2,335.68$3,259.254.0×
millard public schools318$824.64$2,335.68$3,259.254.0×
greater omaha packing318$824.64$2,335.68$3,259.254.0×
midlands choice318$796.12$986.45$2,335.682.9×
iowa total care1313$777.12$824.64$932.841.2×
quiktrip310$824.64$918.60$2,335.682.8×
bc illinois community210$218.14$493.20$500.892.3×
phcs310$841.82$1,117.63$2,384.342.8×
Multiplan310$841.82$1,301.35$2,384.342.8×
timpte39$824.64$2,335.68$3,259.254.0×
Centene39$229.65$868.59$1,067.124.6×
medica exchange insure55$591.81$1,050.99$1,153.901.9×
amps35$667.45$1,890.45$2,322.553.5×
pace35$300.65$851.55$1,046.193.5×
great plains35$315.69$894.13$1,098.503.5×
iamolina35$384.15$907.61$1,088.042.8×
medica exchange inspire55$527.40$939.33$1,031.292.0×
Ambetter24$109.69$746.39$1,383.0912.6×
meridian health plan24$115.17$511.41$907.657.9×
health alliance24$109.69$495.71$881.728.0×
common ground13$2,727.00$2,727.00$2,727.001.0×
wisconsin physician service13$2,883.00$3,035.00$3,035.001.1×
total care12$376.76$721.94$1,067.122.8×
medical associates health plan12$202.93$858.37$1,513.807.5×
Anthem BCBS12$1,979.00$2,264.50$2,550.001.3×
meridian12$115.17$578.17$1,041.179.0×
everpointe elite11$2,153.00$2,153.00$2,153.001.0×
elap11$428.68$428.68$428.681.0×
dean health plan11$790.28$790.28$790.281.0×
creighton university employees11$701.00$701.00$701.001.0×
quartz group11$3,260.00$3,260.00$3,260.001.0×
quartz one11$2,790.00$2,790.00$2,790.001.0×
centivo11$3,169.00$3,169.00$3,169.001.0×
aurora caregiver11$2,450.00$2,450.00$2,450.001.0×
todays options11$931.98$931.98$931.981.0×
trilogy11$4,387.00$4,387.00$4,387.001.0×
Medicare11$316.41$316.41$316.411.0×
iowa health11$115.17$115.17$115.171.0×
hs technology11$3,152.00$3,152.00$3,152.001.0×
health payment systems11$3,350.00$3,350.00$3,350.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health Mercy CorningCorningIA18$2,433.00$1,167.84$369.37$944.01$2,384.34
Chi Health Mercy Council BluffsCouncil BluffsIA21$1,531.00$643.02$229.65$931.98$3,259.25
Mitchell County Regional Health CentOsageIA2$899.30$809.37$316.41$887.93$1,459.44
Unitypoint Health-MarshalltownMarshalltownIA12$2,189.57$1,751.66$109.69$881.72$1,747.28
Chi Health - Missouri ValleyMissouri ValleyIA19$2,433.00$1,192.17$300.65$846.69$2,384.34
Allen Memorial HospitalWaterlooIA12$2,189.57$1,751.66$109.69$777.12$2,555.00
Grundy County Mem. HospitalGrundy CenterIA12$2,189.57$1,751.66$109.69$777.12$2,555.00
Iowa Lutheran HospitalDes MoinesIA12$2,012.96$1,610.37$109.69$710.58$2,281.62
Iowa Methodist Medical CenterDes MoinesIA12$2,012.96$1,610.37$109.69$456.35$2,407.80
The Finley HospitalDubuqueIA14$859.00$687.20$109.69$453.75$2,165.97
Trinity MuscatineMuscatineIA12$859.00$687.20$109.69$399.80$2,817.86
Trinity BettendorfBettendorfIA11$859.00$687.20$109.69$385.30$2,407.80
Trinity Regional Medical CenterFort DodgeIA8$859.00$687.20$109.69$385.30$2,460.37
St. Lukes Methodist HospitalCedar RapidsIA10$859.00$687.20$109.69$385.30$2,334.20
Washington County HospitalWashingtonIA15$1,894.00$2,955.00$4,387.00
Grinnell Regional Medical CenterGrinnellIA10$859.00$687.20$109.69$294.87$932.84
St. Lukes Regl Medical CenterSioux CityIA10$859.00$687.20$109.69$294.87$932.84
Community Mem. Hospt. SummerSumnerIA10$859.00$687.20$109.69$294.87$932.84
Jones Regional Medical CtrAnamosaIA8$878.06$702.45$109.69$234.20$385.30
Greene County Medical CenterJeffersonIA0$1,100.00$616.00
Story County HospitalNevadaIA0$353.00$282.40
Peoples Memorial HospitalIndependenceIA0$803.94$683.34
Mercy Hospital Iowa CityIowa CityIA0$1,430.00$686.40
Stewart Memorial HospitalLake CityIA0$4,254.00$3,403.00

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.