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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in NJ

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Hospitals
12
Min
$1,024.64
Median
$1,051.87
Max
$4,400
Range multiplier
4.3×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1175$33.15$93.33$4,533.21136.7×
UnitedHealthcare1260$12.16$3,417$7,132586.5×
Aetna1245$13.32$1,104.13$5,947446.5×
Cigna1228$1,519$2,361.5$4,8003.2×
amerihealth1119$37.03$73.26$3,31189.4×
wellpoint1117$157.93$1,024.64$3,26620.7×
fidelis care816$12.51$526.38$1,104.1388.3×
qualcare inc815$75.6$87$9,057119.8×
clover health1111$1,020.42$1,037.75$1,104.131.1×
Humana1111$1,024.64$1,051.87$1,104.131.1×
WellCare1111$1,020.42$2,039.03$2,197.222.2×
First Health88$60$60$601.0×
Emblem Health88$1,793.12$1,804.59$2,103.741.2×
wellpoint full dual advantage33$1,020.42$1,046.79$1,046.791.0×
Ambetter33$2,091.87$2,145.92$2,145.921.0×
braven health33$1,020.42$1,046.79$1,046.791.0×
fidelis care of nj33$521.75$521.75$551.541.1×
healthspring33$1,051.04$1,078.19$1,078.191.0×
horizon nj health33$336.73$336.73$336.731.0×
horizon nj total care33$1,020.42$1,046.79$1,046.791.0×
jefferson health plan33$1,091.85$1,120.07$1,120.071.0×
Medicare33$1,020.42$1,046.79$1,046.791.0×
oxford health plans33$2,478$2,478$2,4781.0×
pa health_wellness chc12$162.79$267.29$371.82.3×
horizon nj health nj11$172.14$172.14$172.141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ5$4,281$1,173.48$162.79$4,400$6,648
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$5,339$27.58$1,104.13$4,523
INSPIRA MEDICAL CENTER ELMERELMERNJ19$2,727.68$2,727.68$336.73$1,078.19$4,105
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ19$2,727.68$2,727.68$336.73$1,062.49$4,105
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$4,881$22.71$1,051.87$4,584
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$6,839$15.83$1,051.87$4,584
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ19$2,727.68$2,727.68$336.73$1,051.04$4,105
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$5,419$24.85$1,037.75$4,523
COMMUNITY MEDICAL CENTERTOMS RIVERNJ13$3,786$12.41$1,024.64$4,523
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ13$5,110$12.16$1,024.64$4,533.21
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ13$5,110$12.16$1,024.64$4,533.21
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$6,311$14.45$1,024.64$9,057

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.