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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in MS

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Hospitals
11
Min
$253.68
Median
$971.94
Max
$2,071.8
Range multiplier
8.2×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare441$109.36$971.94$2,38321.8×
Medicaid234$67.2$238.57$688.3510.2×
Blue Cross Blue Shield430$96.6$701.67$3,949.6440.9×
Medicare228$105.03$290.53$1,802.5917.2×
Cigna318$147.3$1,396.73$2,964.7120.1×
Aetna310$98.89$253.72$2,228.1222.5×
excellus 220118$98.89$273.16$499.295.0×
Humana47$118.34$858.52$1,243.0810.5×
independent health 515617$153.86$362.74$1,802.5911.7×
Molina23$839.53$839.53$971.941.2×
langston performance health [100405]12$2,439$2,439$2,4391.0×
american health advantage mcr adv [450117]12$858.52$858.52$858.521.0×
capital district physicians health plan (cdphp) 514912$296.58$502.26$707.942.4×
carecentrix [450200]12$858.52$858.52$858.521.0×
devoted health [450111]12$858.52$858.52$858.521.0×
fidelis 515512$157.06$263.68$370.292.4×
First Health12$1,956.7$2,014.25$2,071.81.1×
generic hospice vbid [10940000101]12$858.52$858.52$858.521.0×
healthcare highways12$1,012.88$1,254.59$1,496.31.5×
Medicare Advantage12$858.52$858.52$858.521.0×
transplant optum tenncare [350013]12$732$732$7321.0×
TRICARE12$810.88$810.88$810.881.0×
va hospital [600005]12$858.52$858.52$858.521.0×
friday health plan11$1,342.52$1,342.52$1,342.521.0×
mvp 290011$2,861.64$2,861.64$2,861.641.0×
oklahoma health network (ohn)11$1,841.6$1,841.6$1,841.61.0×
osma health11$2,071.8$2,071.8$2,071.81.0×
preferred community choice11$2,117.84$2,117.84$2,117.841.0×
total senior care 131911$1,212.56$1,212.56$1,212.561.0×
upmc health plan 513811$909.42$909.42$909.421.0×
WellCare11$971.94$971.94$971.941.0×
medica11$966.84$966.84$966.841.0×
healthsmart11$2,163.88$2,163.88$2,163.881.0×
Empire BCBS11$2,146.23$2,146.23$2,146.231.0×
meridian11$1,127.45$1,127.45$1,127.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MISSISSIPPI METHODIST REHAB CENTERJACKSONMS7$118.34$971.94$2,228.12
METHODIST H/C OLIVE BRANCH HOSPITALOLIVE BRANCHMS16$7,638.12$1,680.39$250$858.52$2,439
MONTFORT JONES MEMORIAL HOSPITALKOSCIUSKOMS15$3,564$1,782$67.2$253.68$2,964.71
JEFFERSON COUNTY HOSPITALFAYETTEMS13$2,302$808$966.84$2,071.8$3,949.64
LAIRD HOSPITALUNIONMS0$2,189.1$1,335.35
SCOTT REGIONAL HOSPITALMORTONMS0$2,189.1$1,379.13
DELTA HEALTH-NORTHWEST REGIONALCLARKSDALEMS0$3,915.31$1,957.65
JOHN C. STENNIS MEMORIAL HOSPITALDEKALBMS0$2,189.1$1,510.48
DELTA HEALTH-THE MEDICAL CENTERGREENVILLEMS0$3,915.31$1,957.65
MARION GENERAL HOSPITALCOLUMBIAMS0$29,801$17,881
H.C. WATKINS MEMORIAL HOSPITALQUITMANMS0$2,189.1$1,466.7

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.