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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in KS

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Hospitals
14
Min
$85.65
Median
$875.74
Max
$2,971.05
Range multiplier
34.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1354$45.00$987.05$3,655.6081.2×
UnitedHealthcare1136$225.00$884.41$3,162.0014.1×
Aetna1030$85.00$916.15$11,236132.2×
Medicare727$846.79$875.74$941.101.1×
Workers Comp225$846.79$1,486.98$4,524.855.3×
Humana1025$706.23$867.07$2,110.003.0×
Medicare Advantage522$867.07$867.07$959.921.1×
Cigna516$36.50$1,029.96$4,583.00125.6×
Ambetter814$1,227.85$1,474.02$1,788.091.5×
First Health310$59.28$494.68$3,222.1754.4×
smarthealth510$1,213.90$1,213.90$1,317.541.1×
Medicaid310$293.65$293.65$799.252.7×
va48$867.07$867.07$867.071.0×
gallagher bassett [5032000103]26$1,486.98$1,486.98$3,572.252.4×
TRICARE55$623.45$623.45$893.341.4×
6 degrees health [503999050]25$1,651.24$2,116.98$2,116.981.3×
transplants-case rates [5750]15$35.00$40.00$100.002.9×
occunet24$374.00$1,924.52$2,117.475.7×
vc hope24$867.07$867.07$867.071.0×
Multiplan34$930.07$2,286.34$3,169.123.4×
centivo [5032000982]14$1,608.90$1,608.90$1,608.901.0×
prime health services23$468.00$2,635.00$3,367.197.2×
php [503200005]13$2,857.80$2,885.43$3,519.861.2×
prime health services [503999912]23$1,486.98$1,486.98$1,486.981.0×
providrs care33$371.42$371.42$371.421.0×
fort hays state student athletes [5032000960]23$1,778.26$1,778.26$1,778.261.0×
occunet [503999930]23$1,778.26$1,778.26$1,778.261.0×
Meritain Health13$2,457.71$3,222.17$4,000.921.6×
centurion [5032000966]23$1,100.83$1,100.83$1,100.831.0×
alt wppa [5032000964]13$1,693.58$1,693.58$2,885.431.7×
advanced medical pricing solutions [503301513]23$2,540.37$2,540.37$2,680.011.1×
alt bnsf railway co [503301503]23$1,486.98$1,486.98$1,486.981.0×
kancare healthy blue33$234.00$234.00$234.001.0×
allwell [503200078]23$872.20$872.20$872.201.0×
commercial-contracted [8000]13$75.00$86.30$1,811.0024.1×
kancare sunflower33$234.00$234.00$234.001.0×
ku athletics [503200094]23$846.79$846.79$846.791.0×
kancare amerigroup33$236.25$236.25$236.251.0×
healthcare highways [2210]13$490.77$490.77$490.771.0×
sedgwick claims management services [53201618]23$1,486.98$1,486.98$1,486.981.0×
90 degree benefits12$1,693.98$1,693.98$1,693.981.0×
careplus mcr replacement12$959.92$959.92$959.921.0×
oscar [503201609]12$1,608.90$1,608.90$1,608.901.0×
Oscar Health12$1,505.76$1,505.76$1,505.761.0×
pace place12$941.10$941.10$941.101.0×
bc advantage mcr replacement12$941.10$941.10$941.101.0×
medincrease health plan12$406.00$1,344.50$2,283.005.6×
employer direct healthcare12$1,646.92$1,646.92$1,646.921.0×
avmed exchange12$1,693.98$1,693.98$1,693.981.0×
devoted [503200068]12$846.79$846.79$846.791.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Great Plains Of Ottawa County IncMinneapolisKS23$922.28$959.92$11,236
Via Christi Rehab Center IncWichitaKS10$548.95$875.74$2,427.80
Via Christi Hosp. Wichita St. TeresaWichitaKS12$867.07$875.74$2,427.80
Mercy Regional Health CenterManhattanKS14$225.00$867.07$2,427.80
Via Christi Hospital Pittsburg Inc.PittsburgKS14$225.00$867.07$2,427.80
Stormont-Vail Regional Health CenterTopekaKS5$2,735.43$299.52$862.97$1,408.24
St. Lukes SouthOverland ParkKS9$10,066$6,039.63$35.00$85.65$4,583.00
St.francis Health CenterTopekaKS19$1,197.00$359.10$490.77$490.77$1,197.00
Rehabilitation Hosp Of Overland ParkOverland ParkKS9$3,961.40$3,961.40$2,376.84$2,971.05$3,565.26
Wamego Hospital AssociationWamegoKS8$225.00$236.25$1,428.44
University Of Kansas HospitalKansas CityKS66$5,752.47$1,150.49$293.65$1,608.90$4,524.85
Ukhs Great Bend CampusGreat BendKS20$2,725.50$545.10$293.65$1,199.90$2,680.01
Newton Medical CenterNewtonKS12$3,513.00$2,459.00$343.00$1,183.50$3,507.00
Childrens Mercy Hospital KansasOverland ParkKS0$1,430.00$686.40

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.