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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in IN

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Hospitals
19
Min
$214.90
Median
$214.90
Max
$2,851.04
Range multiplier
13.3×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS676$154.21$154.21$460.373.0×
UnitedHealthcare742$33.84$241.70$950.5128.1×
Medicaid624$214.90$214.90$214.901.0×
Humana722$460.37$460.37$950.512.1×
Aetna722$460.37$460.37$11,23624.4×
Medicare Advantage720$460.37$460.37$959.922.1×
patoka valley tier 1614$154.21$154.21$154.211.0×
Medicare714$460.37$460.37$941.102.0×
patoka valley tier 2614$154.21$154.21$154.211.0×
mhs care connect612$214.90$214.90$214.901.0×
Ambetter78$460.37$460.37$1,788.093.9×
secure horizons-pacificare66$460.37$460.37$460.371.0×
corizon66$460.37$460.37$460.371.0×
encore exclusive66$154.21$154.21$154.211.0×
personalized care66$460.37$460.37$460.371.0×
immergrun66$460.37$460.37$460.371.0×
CareSource66$460.37$460.37$460.371.0×
ascension complete mcr66$460.37$460.37$460.371.0×
WellCare12$941.10$941.10$941.101.0×
avmed exchange12$1,693.98$1,693.98$1,693.981.0×
bc advantage mcr replacement12$941.10$941.10$941.101.0×
Blue Cross Blue Shield12$941.10$941.10$941.101.0×
careplus mcr replacement12$959.92$959.92$959.921.0×
Cigna12$950.51$955.22$959.921.0×
employer direct healthcare12$1,646.92$1,646.92$1,646.921.0×
Molina12$1,741.04$1,741.04$1,741.041.0×
occunet12$1,741.04$1,929.26$2,117.471.2×
Oscar Health12$1,505.76$1,505.76$1,505.761.0×
pace place12$941.10$941.10$941.101.0×
research study encore borland-groover12$941.10$941.10$941.101.0×
smarthealth12$1,317.54$1,317.54$1,317.541.0×
VA Health12$941.10$941.10$941.101.0×
90 degree benefits12$1,693.98$1,693.98$1,693.981.0×
community hospice11$941.10$941.10$941.101.0×
velocity provider ppo network11$2,851.04$2,851.04$2,851.041.0×
america's choice provider11$2,660.97$2,660.97$2,660.971.0×
haven hospice11$941.10$941.10$941.101.0×
prime health services11$3,231.18$3,231.18$3,231.181.0×
quik trip11$2,851.04$2,851.04$2,851.041.0×
usa managed care organization11$2,851.04$2,851.04$2,851.041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension St. Vincent DunnBedfordIN23$922.28$959.92$11,236
Rehabilitation Hospital Of IndianaIndianapolisIN5$3,801.39$3,801.39$2,660.97$2,851.04$3,231.18
Ascension St. Vincent WarrickBoonevilleIN18$33.84$214.90$460.37
Ascension St. Vincent JenningsNorth VernonIN18$33.84$214.90$460.37
St. Mary Medical Center Inc.HobartIN18$33.84$214.90$460.37
Ascension St Vincent Seton SpecialtyIndianapolisIN18$33.84$214.90$460.37
St Vincent Seton Specialty Hosp-LafLafayetteIN18$33.84$214.90$460.37
Ascension St. Vincent WilliamsportWilliamsportIN18$33.84$214.90$460.37
Laporte HospitalLaporteIN0$12,339$4,071.72
Dukes Memorial HospitalPeruIN0$16,758$8,379.05
Margaret Mary Community HospitalBatesvilleIN0$910.10$764.48
Lutheran Musculoskeletal CenterFort WayneIN0$556.00$150.12
Marion General HospitalMarionIN0$29,801$17,881
Lutheran Hospital Of IndianaFt WayneIN0$9,741.93$2,922.58
Porter Regional HospitalValparaisoIN0$13,290$3,588.27
Schneck Medical CenterSeymourIN0$597.00$417.90
Bluffton Regional Medical CenterBlufftonIN0$8,213.20$1,971.17
Starke Memorial HospitalKnoxIN0$16,078$4,341.04
Dupont HospitalFort WayneIN0$9,923.75$2,679.41

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.