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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in NM

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Hospitals
5
Min
$1,450
Median
$2,032.5
Max
$3,857.75
Range multiplier
2.7×

By payer (9 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
benefit management [1175]55$1,450$2,032.5$2,967.52.0×
magellan behavioral commercial [2895]55$1,450$2,032.5$3,857.752.7×
presbyterian health plan [1830]55$1,450$2,032.5$3,857.752.7×
the health plan [2915]55$585.8$821.13$1,198.872.0×
zelis [2385]55$1,450$2,032.5$2,967.52.0×
caprock health plans [1200]11$3,857.75$3,857.75$3,857.751.0×
Cigna11$4,074.38$4,074.38$4,074.381.0×
samba health [2305]11$4,074.38$4,074.38$4,074.381.0×
Medicare11$2,967.5$2,967.5$2,967.51.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LOVELACE REGIONAL HOSPITAL-ROSWELLROSWELLNM9$5,935$1,780.5$1,198.87$3,857.75$4,074.38
LOVELACE MEDICAL CENTER- DOWNTOWNALBUQUERQUENM5$4,065$1,219.5$821.13$2,032.5$2,032.5
HEART HOSPITAL OF NEW MEXICOALBUQUERQUENM5$4,065$1,219.5$821.13$2,032.5$2,032.5
LOVELACE WOMENS HOSPITALALBUQUERQUENM5$2,900$870$585.8$1,450$1,450
LOVELACE WESTSIDE HOSPITALALBUQUERQUENM5$2,900$870$585.8$1,450$1,450

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.