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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in IL

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Hospitals
40
Min
$118.42
Median
$1,006.65
Max
$4,789.22
Range multiplier
40.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna22140$25.40$922.38$5,685.00223.8×
UnitedHealthcare32136$50.20$985.77$6,181.00123.1×
Blue Cross Blue Shield22124$19.00$912.67$3,201.82168.5×
Humana2466$19.00$949.29$6,690.00352.1×
Medicare954$112.07$977.33$1,075.069.6×
Molina2350$111.88$623.70$2,007.9417.9×
Cigna1740$45.30$1,416.65$6,771.00149.5×
Medicare Advantage139$112.07$336.62$1,019.299.1×
Ambetter1623$109.69$1,583.27$1,583.2714.4×
Multiplan1323$75.00$1,108.50$4,697.9762.6×
healthlink817$142.90$960.70$1,909.8013.4×
meridian716$115.22$207.90$971.948.4×
WellCare713$115.83$390.39$1,006.658.7×
smarthealth612$1,368.26$1,368.26$1,368.261.0×
Bright Health612$1,221.66$1,221.66$1,221.661.0×
ecoh111$283.25$631.32$2,659.039.4×
allied benefits [498]29$58.00$1,148.40$5,685.0098.0×
cox health systems insurance company [220]29$55.00$59.50$1,089.0019.8×
Oscar Health99$1,466.00$1,466.00$1,466.001.0×
hstechnology99$1,876.48$1,876.48$1,876.481.0×
consociate [478]28$1,850.00$3,218.50$4,587.002.5×
amerivantage48$115.17$511.41$1,026.208.9×
health partners open network48$253.88$732.89$1,361.835.4×
TRICARE48$977.33$977.33$977.331.0×
meridian health plan27$115.17$118.42$1,026.208.9×
Self-Pay (Cash)57$316.75$977.33$977.333.1×
hfn16$283.25$590.31$2,659.039.4×
First Health56$74.30$457.25$3,919.0052.7×
med-pay [480]26$65.00$75.00$1,485.0022.8×
phcs [244]26$75.00$80.00$1,584.0021.1×
healthlink [225]26$48.50$65.00$75.501.6×
prime health services36$110.04$678.75$928.468.4×
healthscope benefits [258]25$891.00$1,925.00$2,466.002.8×
mychoice wi medical adv15$112.07$306.02$926.638.3×
apwu health plan [216]24$2,769.00$4,770.00$6,771.002.4×
hope trust [806]24$58.00$603.20$1,148.4019.8×
community partners health plan (cphp)34$833.40$886.80$1,223.281.5×
nalc health benefit plan [242]24$2,769.00$4,770.00$6,771.002.4×
unicare [568]24$65.00$70.25$75.501.2×
health alliance [224]24$55.00$572.00$1,089.0019.8×
health alliance24$109.69$1,028.94$1,591.5014.5×
sarah bush lincoln [636]24$1,850.00$3,218.50$4,587.002.5×
aarp24$928.46$928.46$928.461.0×
priority health [648]24$2,769.00$4,770.00$6,771.002.4×
iowa total care44$729.38$777.12$903.291.2×
medica [661]24$80.00$832.00$1,584.0019.8×
deaconess onecare24$115.83$237.45$977.338.4×
health's finest network [126]14$45.00$924.28$3,331.1574.0×
healthcare sol mercy [609]24$75.00$780.00$1,485.0019.8×
actin care24$1,514.86$1,514.86$1,514.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carle Foundation HospitalUrbanaIL11$2,079.00$2,079.00$118.34$971.94$1,767.15
Memorial Hospital EastShilohIL35$2,065.05$1,239.03$48.50$953.87$6,771.00
Hammond-Henry HospitalGeneseoIL5$90.00$945.00$1,050.00
Carle Bromenn Medical CenterNormalIL11$1,478.00$1,478.00$82.00$916.36$1,108.50
Proctor HospitalPeoriaIL12$2,189.57$1,751.66$109.69$777.12$2,555.00
Pekin Memorial HospitalPekinIL12$2,189.57$1,751.66$109.69$777.12$2,555.00
Carle Eureka HospitalEurekaIL11$1,478.00$1,478.00$82.00$666.72$1,241.52
Hoopeston Community Memorial HospitaHoopsetonIL10$1,859.00$1,859.00$82.00$557.70$1,617.33
Richland Memorial HospitalOlneyIL10$1,859.00$1,859.00$82.00$557.70$1,617.33
Red Bud Regional HospitalRed BudIL6$905.00$316.75$144.79$543.00$705.90
Trinity Rock IslandRock IslandIL13$859.00$687.20$109.69$493.20$2,660.14
Warner Hospital And Health ServicesClintonIL17$6,670.12$6,670.12$4,083.44$4,789.22$6,336.61
Swedishamerican HospitalRockfordIL26$5,255.00$840.80$112.07$463.32$4,697.97
Methodist Medical Ctr Of IllinoisPeoriaIL12$2,012.96$1,610.37$109.69$456.35$2,407.80
Kirby HospitalMonticelloIL9$2,122.00$1,273.20$115.22$424.40$1,909.80
Heartland Regional Medical CenterMarionIL23$905.00$316.75$110.04$319.01$2,785.39
Valley West Community HospitalSandwichIL16$6,931.74$4,852.22$19.00$295.85$3,919.00
Advocate Sherman HospitalElginIL5$1,417.13$2,623.74$4,256.00
Condell Medical CenterLibertyvilleIL5$1,417.13$2,576.74$4,636.00
South Suburban HospitalHazelcrestIL5$1,417.13$2,501.24$6,181.00
Good Shepherd HospitalBarringtonIL5$1,417.13$2,501.24$6,181.00
Advocate Northside Health SystemChicagoIL5$1,417.13$2,501.24$6,181.00
Advocate Lutheran General HospitalPark RidgeIL5$1,417.13$2,501.24$6,181.00
Advocate Good Samaritan HospitalDowners GroveIL5$1,417.13$2,501.24$6,181.00
Advocate Southland HospitalChicagoIL5$1,417.13$2,501.24$6,181.00
Advocate Christ HospitalOak LawnIL5$1,417.13$2,501.24$6,181.00
Union County Hospital DistrictAnnaIL20$905.00$316.75$110.04$118.42$678.75
Marshall Browning HospitalDuquoinIL5$80.00$1,153.60$1,442.00
Presence Saints Mary & Elizabeth MedChicagoIL7$193.51$1,103.02$2,007.94
Alton Memorial HospitalAltonIL36$7,196.93$4,318.16$25.00$1,089.00$6,771.00
Presence Saint Francis HospitalEvanstonIL9$977.33$1,026.20$1,583.27
Presence Saint Joseph Hosp-ChicagoChicagoIL9$977.33$1,026.20$1,583.27
Presence Saint Joseph Hospital ElginElginIL9$977.33$1,026.20$1,583.27
Presence St. Marys HospitalKankakeeIL9$977.33$1,026.20$1,583.27
St. Alexius Medical CenterHoffman EstatesIL12$928.46$1,006.65$1,729.87
Alexian Brothers Medical CenterElk Grove VillageIL12$928.46$1,006.65$1,710.33
Board Of Trustees Of The UniversityChicagoIL0$3,800.00$2,660.00
Jackson Park HospitalChicagoIL0$2,810.67$2,248.54
Anderson HospitalMaryvilleIL0
Washington County HospitalNashvilleIL0$2,210.00$1,768.00

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.