▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in MA
Hospitals
9
Min
$989.20
Median
$1,141.32
Max
$1,508.22
Range multiplier
1.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 6 | 56 | $52.12 | $870.88 | $3,236.00 | 62.1× |
| UnitedHealthcare | 6 | 43 | $22.71 | $1,163.06 | $4,584.00 | 201.8× |
| Medicaid | 4 | 35 | $2.89 | $9.49 | $2,328.18 | 805.6× |
| institution [10406] | 4 | 32 | $7.59 | $1,100.43 | $3,236.00 | 426.4× |
| harvard pilgrim [10701] | 4 | 24 | $745.36 | $761.55 | $1,335.02 | 1.8× |
| Cigna | 6 | 21 | $701.92 | $1,660.00 | $4,409.20 | 6.3× |
| Aetna | 6 | 19 | $24.88 | $1,975.00 | $5,350.00 | 215.0× |
| correctional care [11003] | 3 | 16 | $1,086.97 | $1,093.70 | $3,563.91 | 3.3× |
| tufts [11201] | 4 | 12 | $701.92 | $2,158.43 | $2,374.30 | 3.4× |
| mgb mcr [10124] | 4 | 10 | $1,086.97 | $1,141.32 | $2,444.58 | 2.2× |
| tufts connectorcare [10507] | 4 | 10 | $1,848.94 | $1,848.94 | $3,960.23 | 2.1× |
| hsno/free care [10801] | 4 | 8 | $294.30 | $672.16 | $680.81 | 2.3× |
| CHAMPVA | 4 | 8 | $1,002.07 | $1,192.46 | $2,027.51 | 2.0× |
| tufts us family [11203] | 4 | 8 | $1,086.97 | $1,093.70 | $2,328.18 | 2.1× |
| tufts mcr supp [20209] | 2 | 8 | $570.66 | $855.99 | $1,141.32 | 2.0× |
| senior whole health [10110] | 4 | 8 | $1,163.06 | $1,170.26 | $2,491.15 | 2.1× |
| wellpoint [11112] | 4 | 8 | $1,508.22 | $1,508.22 | $1,508.22 | 1.0× |
| commonwealth care mcr [10115] | 3 | 7 | $1,141.32 | $1,141.32 | $2,444.58 | 2.1× |
| tufts dual [10111] | 3 | 7 | $1,086.97 | $1,086.97 | $2,328.18 | 2.1× |
| fallon mcr [10105] | 3 | 7 | $1,141.32 | $1,141.32 | $1,155.45 | 1.0× |
| tufts mcr [10112] | 2 | 7 | $570.66 | $1,155.45 | $2,444.58 | 4.3× |
| Medicare | 3 | 7 | $1,086.97 | $1,086.97 | $2,328.18 | 2.1× |
| grants [20507] | 4 | 6 | $6.52 | $2,502.00 | $3,236.00 | 496.3× |
| fallon connectorcare [10503] | 2 | 6 | $377.00 | $608.16 | $2,178.76 | 5.8× |
| fallon mcr supp [20202] | 2 | 6 | $1,141.32 | $1,155.45 | $2,444.58 | 2.1× |
| First Health | 5 | 5 | $60.00 | $2,271.75 | $2,427.00 | 40.5× |
| workers compensation [20501] | 4 | 5 | $379.98 | $995.63 | $1,294.40 | 3.4× |
| harvard pilgrim mcr supp [20203] | 2 | 4 | $1,141.32 | $1,141.32 | $1,141.32 | 1.0× |
| eternalhealth mcr replace [10116] | 2 | 4 | $1,141.32 | $1,141.32 | $1,141.32 | 1.0× |
| hne [11108] | 4 | 4 | $1,285.33 | $1,459.44 | $1,689.88 | 1.3× |
| pennsylvania health and wellness | 1 | 4 | $156.53 | $989.20 | $1,723.83 | 11.0× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,975.00 | $3,132.50 | $3,236.00 | 1.6× |
| geisinger | 1 | 4 | $150.26 | $1,509.54 | $2,211.81 | 14.7× |
| connecticare [11105] | 4 | 4 | $1,975.00 | $3,132.50 | $3,236.00 | 1.6× |
| evernorth behavioral health [27] | 3 | 3 | $1,580.00 | $2,588.80 | $2,588.80 | 1.6× |
| masshealth mcd mbhp [38] | 3 | 3 | $1,975.00 | $3,236.00 | $3,236.00 | 1.6× |
| Multiplan | 3 | 3 | $2,271.75 | $2,427.00 | $2,427.00 | 1.1× |
| commonwealth care alliance [10103] | 1 | 3 | $1,141.32 | $1,155.45 | $1,155.45 | 1.0× |
| upmc health plan | 1 | 3 | $175.31 | $250.44 | $978.39 | 5.6× |
| amerihealth | 1 | 2 | $37.03 | $41.97 | $46.91 | 1.3× |
| fallon carelon hlth [28] | 2 | 2 | $1,975.00 | $2,502.00 | $3,029.00 | 1.5× |
| Humana | 2 | 2 | $959.75 | $1,005.81 | $1,051.87 | 1.1× |
| wellsense cc carelon hlth [20] | 2 | 2 | $3,236.00 | $3,236.00 | $3,236.00 | 1.0× |
| optum transplant [20601] | 2 | 2 | $3,236.00 | $3,236.00 | $3,236.00 | 1.0× |
| hp optum bh [32] | 2 | 2 | $1,975.00 | $2,502.00 | $3,029.00 | 1.5× |
| qualcare inc | 1 | 2 | $87.00 | $1,393.00 | $2,699.00 | 31.0× |
| health partners plans | 1 | 2 | $978.39 | $1,096.20 | $1,214.00 | 1.2× |
| devon health | 1 | 2 | $3,858.26 | $3,858.26 | $3,858.26 | 1.0× |
| harvard pilgrim mcr [10106] | 1 | 2 | $1,155.45 | $1,800.02 | $2,444.58 | 2.1× |
| automobile [10401] | 2 | 2 | $3,236.00 | $3,236.00 | $3,236.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 19 | $3,937.00 | — | $150.26 | $989.20 | $5,350.00 |
| Healthalliance-Clinton | Leominster | MA | 32 | $8,377.23 | $8,377.23 | $294.30 | $1,508.22 | $4,409.20 |
| Umass Memorial Medical Center | Worcester | MA | 37 | $18,411 | $18,411 | $2.89 | $1,141.32 | $3,563.91 |
| Marlborough Hospital | Marlborough | MA | 37 | $18,411 | $18,411 | $2.89 | $1,141.32 | $3,563.91 |
| Harrington Memorial Hospital | Southbridge | MA | 31 | $7,342.66 | $7,342.66 | $111.82 | $1,141.32 | $1,975.00 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 13 | — | $4,881.00 | $22.71 | $1,051.87 | $4,584.00 |
| Berkshire Medical Center | Pittsfield | MA | 0 | $2,655.78 | $2,522.99 | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | $2,655.78 | $2,522.99 | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | $2,655.78 | $2,522.99 | — | — | — |
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.