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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in MO

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Hospitals
13
Min
$75.50
Median
$892.66
Max
$1,608.90
Range multiplier
21.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield880$23.32$1,607.00$39,4591692.1×
Aetna856$22.00$75.00$58,3442652.0×
Cigna850$49.20$1,547.20$33,041671.6×
UnitedHealthcare835$22.40$892.66$30,5081362.0×
consociate [478]730$54.20$1,850.00$25,374468.2×
allied benefits [498]729$58.00$74.30$58,3441005.9×
Humana829$22.20$892.66$6,690.00301.4×
cox health systems insurance company [220]728$55.00$65.00$1,669.8030.4×
healthlink [225]721$48.50$65.00$75.501.6×
phcs [244]721$75.00$80.00$2,428.8032.4×
med-pay [480]721$65.00$75.00$2,277.0035.0×
healthscope benefits [258]721$65.00$1,469.00$30,508469.4×
Workers Comp119$846.79$1,486.98$4,524.855.3×
sarah bush lincoln [636]717$54.20$1,850.00$25,374468.2×
nalc health benefit plan [242]715$54.30$1,552.62$25,785474.9×
apwu health plan [216]715$54.30$1,552.62$25,785474.9×
priority health [648]715$54.30$1,552.62$25,785474.9×
medica [661]714$80.00$832.00$2,428.8030.4×
health alliance [224]714$55.00$579.50$2,125.2038.6×
unicare [568]714$65.00$70.25$75.501.2×
hope trust [806]714$58.00$603.20$1,760.8830.4×
healthcare sol mercy [609]714$75.00$780.00$2,277.0030.4×
First Health810$74.30$74.30$3,222.1743.4×
medica [662]710$23.54$945.58$5,750.43244.3×
essence healthcare [221]710$22.00$900.56$5,476.60248.9×
cox health [757]710$23.10$945.58$5,750.43248.9×
Multiplan89$75.00$75.00$2,286.3430.5×
devoted health plan [847]68$24.15$749.83$1,021.6042.3×
mail handlers [495]78$60.30$69.65$58,344967.6×
coresource [497]78$60.30$69.65$58,344967.6×
fmh benefit service inc [222]78$60.30$69.65$58,344967.6×
hfn [563]77$80.00$80.00$85.001.1×
beechstreet [551]77$75.00$75.00$75.001.0×
detego health [868]77$75.00$75.00$75.001.0×
preferred health professionals [561]77$75.50$75.50$75.501.0×
health systems inc [620]77$75.00$75.00$75.001.0×
Medicare25$846.79$863.73$961.171.1×
6 degrees health [503999050]14$1,651.24$1,884.11$2,116.981.3×
centivo [5032000982]14$1,608.90$1,608.90$1,608.901.0×
gallagher bassett [5032000103]14$1,486.98$1,486.98$3,572.252.4×
mercy behavioral health [573]44$25.00$25.00$25.001.0×
alt wppa [5032000964]13$1,693.58$1,693.58$2,885.431.7×
Meritain Health13$2,457.71$3,222.17$4,000.921.6×
php [503200005]13$2,857.80$2,885.43$3,519.861.2×
american health plans [503200968]12$889.13$889.13$889.131.0×
fort hays state student athletes [5032000960]12$1,778.26$1,778.26$1,778.261.0×
Ambetter12$1,439.55$1,439.55$1,439.551.0×
alt bnsf railway co [503301503]12$1,486.98$1,486.98$1,486.981.0×
prime health services [503999912]12$1,486.98$1,486.98$1,486.981.0×
allwell [503200078]12$872.20$872.20$872.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$2,065.05$1,239.03$48.50$953.87$6,771.00
Progress West HospitalOfallonMO36$5,970.94$3,582.56$48.50$953.87$6,771.00
St. Louis Childrens HospitalSt. LouisMO34$60,239$36,143$48.50$892.66$58,344
Parkland Health Center - FarmingtonFarmingtonMO36$8,843.95$5,306.37$25.00$80.00$4,587.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO37$4,356.95$2,614.17$25.00$80.00$4,402.00
Missouri Baptist Hospital SullivanSullivanMO36$5,604.75$3,362.85$22.00$75.50$4,587.00
Missouri Baptist Sullivan HospitalSullivanMO36$5,604.75$3,362.85$22.00$75.50$4,587.00
North Kansas City HospitalNorth Kansas CityMO66$5,752.47$1,150.49$293.65$1,608.90$4,524.85
Ranken JordanMaryland HeightsMO0$1,012.00$809.60
Moberly Regional Medical CenterMoberlyMO0$12,332$3,329.59
Missouri Delta Medical CenterSikestonMO0$4,126.21$1,031.55
Harrison County Community HospitalBethanyMO0$269.00$134.50
Northeast Regional Medical CenterKirksvilleMO0$20,164$4,839.35

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.