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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in MN

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Hospitals
20
Min
$259.12
Median
$1,005.32
Max
$1,068.01
Range multiplier
4.1×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11248$36.93$1,207.25$2,361.663.9×
health partners12172$81.95$726.78$2,843.1634.7×
medica12169$87.81$703.13$2,47028.1×
Blue Cross Blue Shield19123$93.96$590.98$3,731.8539.7×
sanford health plan12114$28.62$1,200.41$1,931.9267.5×
security health plan11112$35.47$1,529.65$2,46069.4×
First Health1697$39.84$1,673.62$3,21380.6×
Multiplan1293$41.3$1,734.85$2,78867.5×
ucare1292$83.51$718.08$2,144.5925.7×
private healthcare systems1190$41.3$1,734.85$2,78867.5×
UnitedHealthcare1990$111.18$730.77$4,89244.0×
wisconsin physician services1190$43.73$1,836.9$2,95267.5×
itasca medical care1144$81.96$492.76$943.4811.5×
primewest1143$81.96$111.18$943.4811.5×
south country health alliance936$81.96$492.76$933.2411.4×
WellCare1122$111.18$508.29$943.488.5×
Medicaid721$8.61$724$1,886.29219.1×
hennepin health919$92.61$92.61$944.2810.2×
Medicare814$133.19$812.85$1,016.827.6×
optum112$104.45$857.92$1,869.617.9×
Humana311$104.45$773.18$2,13220.4×
interlink18$120.52$1,216.88$2,46020.4×
Cigna18$89.99$908.6$1,836.820.4×
emerging therapies18$102.84$1,038.4$2,099.220.4×
Aetna18$109.27$1,103.3$2,230.420.4×
medica [900156]57$1,064.18$1,824.04$3,4433.2×
healthpartners [900713]56$970.14$1,692.29$1,889.971.9×
commercial | sanford health plan | all plans23$185.25$556.7$946.25.1×
commercial | health partners | all plans23$171.21$514.51$1,683.989.8×
ma wisconsin replacement [950271]22$884.49$904.83$925.161.0×
blue plus11$249.58$249.58$249.581.0×
hp11$790.5$790.5$790.51.0×
commercial | preferred one | ppo11$544.98$544.98$544.981.0×
commercial | preferred one | all other plans11$209.43$209.43$209.431.0×
commercial | medica | all plans11$1,621$1,621$1,6211.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LAKEVIEW MEMORIALSTILLWATERMN7$3,570$1,320.9$8.61$994.51$3,213
PARK NICOLLET METHODIST HOSPITALST. LOUIS PARKMN8$3,417$888.42$512.25$948.42$3,497
FAIRVIEW SOUTHDALE HOSPITALEDINAMN17$2,046.19$820.53$28.62$944.28$3,365
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN15$2,038.05$866.18$53.01$943.48$2,058.84
RANGE REGIONAL HEALTH SERVICESHIBBINGMN15$2,038.05$866.18$53.01$905.4$2,058.84
COMMUNITY MEMORIAL HOSPITALCLOQUETMN1$790.5$529.64$790.5$790.5$790.5
OLIVIA HOSPITAL AND CLINICSOLIVIAMN7$1,906$1,162.66$133.19$673.77$3,405.6
ST. GABRIELS HOSPITALLITTLE FALLSMN13$996$498$133.82$595.68$2,311.27
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN8$586$362.74$131.53$302.35$2,311.27
JOHNSON MEMORIAL HOSPITALDAWSONMN5$998.31$848.56$135.08$259.12$528.11
HUTCHINSON HEALTH CAREHUTCHINSONMN8$2,718$1,250.28$419.04$1,068.01$4,892
FAIRVIEW NORTHLAND REGPRINCETONMN17$2,046.19$820.53$81.95$1,063.36$3,500
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN17$2,046.19$820.53$81.95$1,043.38$3,500
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN17$2,046.19$869.64$81.95$1,040.45$3,500
FAIRVIEW RIDGES HOSPITALBURNSVILLEMN17$2,046.19$869.64$81.95$1,040.45$3,500
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN17$2,046.19$869.64$81.95$1,040.45$3,500
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN17$2,046.19$869.64$81.95$1,040.45$3,500
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN17$2,046.19$869.64$81.95$1,040.45$3,500
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$3,280$1,315.28$81.95$1,023.4$3,500
REGIONS HOSPITALST PAULMN7$1,876$487.76$339.39$1,005.32$2,445

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.