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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in KY

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Hospitals
6
Min
$106.59
Median
$106.59
Max
$1,425
Range multiplier
13.4×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna410$106.59$159.52$908.898.5×
WellCare410$106.59$159.52$1,428.2613.4×
UnitedHealthcare47$106.59$112.17$865.618.1×
Anthem BCBS25$112.17$159.52$1,42512.7×
Humana15$112.17$489.59$865.617.7×
Cigna13$112.17$387.35$865.617.7×
optum ccn region 133$106.59$106.59$106.591.0×
caresoure kentucky33$106.59$175.87$175.871.6×
optum ccn region 233$106.59$106.59$106.591.0×
Multiplan12$436.9$954.22$1,471.543.4×
the health plan12$91.62$99.11$106.591.2×
va community care network12$112.17$488.89$865.617.7×
amerigroup12$112.17$488.89$865.617.7×
CareSource12$112.17$640.38$1,168.5810.4×
alliance coal11$1,298.42$1,298.42$1,298.421.0×
beacon health11$159.52$159.52$159.521.0×
center care11$387.35$387.35$387.351.0×
christian county health dept-cchd11$159.52$159.52$159.521.0×
commonwealth health alliance11$462.6$462.6$462.61.0×
First Health11$436.9$436.9$436.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$514$159.34$112.17$387.35$1,471.54
CCH AT BAPTIST HEALTH CORBINCORBINKY1$1,900$1,900$1,425$1,425$1,425
WHITESBURG ARHWHITESBURGKY6$1,039$623.4$106.59$106.59$173.96
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY6$1,039$623.4$106.59$106.59$175.87
TUG VALLEY ARHSOUTH WILLIAMSONKY7$1,039$623.4$91.62$106.59$175.87
SPRING VIEW HOSPITALLEBANONKY0$8,329.53$3,331.81

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.