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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in ND

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Hospitals
5
Min
$613.83
Median
$1,607
Max
$3,591.38
Range multiplier
5.9×

By payer (15 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare39$326.34$567.21$1,0083.1×
medica39$341.88$730.38$2,6897.9×
health partners38$730.38$800.58$2,2853.1×
Blue Cross Blue Shield36$332.87$470.09$3,36110.1×
sanford health plan36$466.2$613.83$3,1936.8×
Multiplan35$730.38$753.69$3,830.85.2×
Aetna12$1,269$1,895$2,5212.0×
nextblue north dakota12$1,151$1,718$2,2852.0×
prime health services11$4,070.23$4,070.23$4,070.231.0×
provider network of america11$3,591.38$3,591.38$3,591.381.0×
quik trip11$3,591.38$3,591.38$3,591.381.0×
medincrease11$4,309.65$4,309.65$4,309.651.0×
america's choice provider network11$3,351.95$3,351.95$3,351.951.0×
usa managed care organization11$3,591.38$3,591.38$3,591.381.0×
velocity provider ppo network11$3,591.38$3,591.38$3,591.381.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY MEDICAL CENTERWILLISTONND6$777$450.66$341.88$637.14$730.38
ST JOSEPHS HOSPITAL & HEALTH CTRDICKINSONND6$777$489.51$326.34$613.83$753.69
PAM REHABILITATION HOSPITAL OF FARGOFARGOND8$4,788.5$4,788.5$3,351.95$3,591.38$4,309.65
LINTON HOSPITALLINTONND7$3,361$3,361$508$1,607$3,361
PRESENTATION MEDICAL CENTERROLLAND0$2,765$2,489

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.