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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in LA

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Hospitals
7
Min
$151.5
Median
$875.74
Max
$3,985.8
Range multiplier
26.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna311$150$187.4$1,3008.7×
UnitedHealthcare26$349.65$884.41$2,427.86.9×
Medicare16$867.07$875.74$884.411.0×
first choice health16$187.4$743.7$1,3006.9×
First Health16$187.4$743.7$1,3006.9×
Blue Cross Blue Shield25$884.41$1,231.22$1,231.221.4×
Medicare Advantage14$867.07$867.07$875.741.0×
mcd healthy blue12$349.65$349.65$349.651.0×
mcd la hc conn12$349.65$349.65$349.651.0×
mcd ms12$384.62$384.62$384.621.0×
Medicaid12$349.65$349.65$349.651.0×
Ambetter12$1,474.02$1,474.02$1,474.021.0×
amer contl ins12$187.4$743.7$1,3006.9×
Cigna12$349.65$349.65$349.651.0×
correct cr int hlt12$349.65$349.65$349.651.0×
Humana12$867.07$867.07$867.071.0×
mcd amerihealth caritas12$349.65$349.65$349.651.0×
meritan health12$187.4$743.7$1,3006.9×
ofc of grp bene12$1,231.22$1,231.22$1,231.221.0×
raymond laborde correctio12$1,115.6$1,115.6$1,115.61.0×
smarthealth12$1,213.9$1,213.9$1,213.91.0×
usa managed care organization12$3,857.22$3,985.8$4,114.371.1×
va12$867.07$867.07$867.071.0×
vc hope12$867.07$867.07$867.071.0×
america's choice11$3,600.07$3,600.07$3,600.071.0×
fortified provider network11$4,371.52$4,371.52$4,371.521.0×
evolutions healthcare system11$4,114.37$4,114.37$4,114.371.0×
velocity provider ppo network11$3,857.22$3,857.22$3,857.221.0×
Multiplan11$4,114.37$4,114.37$4,114.371.0×
three rivers provider network11$4,371.52$4,371.52$4,371.521.0×
provider network of america11$3,857.22$3,857.22$3,857.221.0×
quik trip11$3,857.22$3,857.22$3,857.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BETHESDA REHABILITATION HOSPITAL INCBATON ROUGELA10$548.95$875.74$2,427.8
PAM SPECIALTY HOSPITAL OF SHREVEPORTSHREVEPORTLA9$5,142.96$5,142.96$3,600.07$3,985.8$4,371.52
AVOYELLES HOSPITALMARKSVILLELA16$2,207.5$662.25$187.4$349.65$1,300
RIVERBRIDGE SPECIALTY HOSPITALVIDALIALA1$2,290$1,717.5$150$151.5$153
UNIVERSITY MEDICAL CTR. AT NEW ORLEANEW ORLEANSLA0$3,753$825.66
OCHSNER EXTENDED CARE HOSPITALJEFFERSONLA0$2,890$1,069.3
OCHSNER LSU HEALTH SHREVEPORTSHREVEPORTLA0$2,178$609.84

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.