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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in LA

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Hospitals
7
Min
$151.50
Median
$875.74
Max
$3,985.80
Range multiplier
26.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna311$150.00$187.40$1,300.008.7×
UnitedHealthcare26$349.65$884.41$2,427.806.9×
Medicare16$867.07$875.74$884.411.0×
first choice health16$187.40$743.70$1,300.006.9×
First Health16$187.40$743.70$1,300.006.9×
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$187.40$743.70$1,300.006.9×
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$187.40$743.70$1,300.006.9×
ofc of grp bene12$1,231.22$1,231.22$1,231.221.0×
raymond laborde correctio12$1,115.60$1,115.60$1,115.601.0×
smarthealth12$1,213.90$1,213.90$1,213.901.0×
usa managed care organization12$3,857.22$3,985.80$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 HospitalBaton RougeLA10$548.95$875.74$2,427.80
Pam Specialty Hospital Of ShreveportShreveportLA9$5,142.96$5,142.96$3,600.07$3,985.80$4,371.52
Avoyelles HospitalMarksvilleLA16$2,207.50$662.25$187.40$349.65$1,300.00
Riverbridge Specialty HospitalVidaliaLA1$2,290.00$1,717.50$150.00$151.50$153.00
University Medical Ctr. At New OrleaNew OrleansLA0$3,753.00$825.66
Ochsner Extended Care HospitalJeffersonLA0$2,890.00$1,069.30
Ochsner Lsu Health ShreveportShreveportLA0$2,178.00$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.