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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in NE

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Hospitals
3
Min
$259.5
Median
$475.5
Max
$931.98
Range multiplier
3.6×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica39$102.92$796.12$2,32222.6×
UnitedHealthcare35$260.27$425$913.713.5×
Aetna24$102.92$377.31$941.819.2×
midlands choice23$538$796.12$1,148.252.1×
Blue Cross Blue Shield33$224.77$481$913.714.1×
Centene13$260.27$790.95$941.123.6×
Humana23$102.92$913.71$941.819.2×
Cigna12$280.32$280.32$280.321.0×
greater omaha packing12$2,834.13$3,046.69$3,259.251.2×
medica cost12$108.07$548.49$988.99.2×
amerigroup12$790.95$875.18$959.41.2×
millard public schools12$2,834.13$3,046.69$3,259.251.2×
Multiplan12$1,301.35$1,301.35$1,301.351.0×
naphcare12$154.38$783.55$1,412.719.2×
one world12$2,834.13$3,046.69$3,259.251.2×
phcs12$1,087.01$1,117.63$1,148.251.1×
quiktrip12$918.6$918.6$918.61.0×
Ambetter12$238.68$825.7$1,412.715.9×
WellCare12$108.07$548.49$988.99.2×
elap11$505.23$505.23$505.231.0×
great plains11$959.4$959.4$959.41.0×
nebraska total care11$336$336$3361.0×
winhealth11$195.55$195.55$195.551.0×
iamolina11$806.46$806.46$806.461.0×
amps11$1,955.34$1,955.34$1,955.341.0×
timpte11$3,259.25$3,259.25$3,259.251.0×
pace11$913.71$913.71$913.711.0×
todays options11$931.98$931.98$931.981.0×
creighton university employees11$701$701$7011.0×
rci insurance group11$280.32$280.32$280.321.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH-CREIGHTON UNIV MED CENTEROMAHANE21$1,531$643.02$229.87$931.98$3,259.25
REGIONAL WEST GARDEN COUNTY HOSPITALOSHKOSHNE6$566$385$336$475.5$543
REGIONAL WEST MEDICAL CENTERSCOTTSBLUFFNE12$510$306$102.92$259.5$1,412.71

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.