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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in NV

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Hospitals
7
Min
$1,006.27
Median
$1,108.08
Max
$3,091.73
Range multiplier
3.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare514$926$2,003.5$2,7793.0×
TRICARE312$926$926$986.541.1×
Aetna411$879.11$1,315$3,574.554.1×
Blue Cross Blue Shield29$926$1,376.25$2,6792.9×
Medicare58$879.11$911.35$986.541.1×
Anthem BCBS37$329.44$986.54$3,283.710.0×
Cigna46$2,192.94$3,812.86$4,5522.1×
Medicaid45$286$329.44$329.441.2×
Humana45$741.78$879.11$3,574.554.8×
Molina23$329.44$986.54$998.483.0×
pa health & wellness13$927.23$1,112.68$3,5003.8×
govt employees health assn [3081090]13$2,201.04$2,201.04$2,201.041.0×
health partners plan13$927.23$1,390.85$1,5821.7×
healthpartners [3081368]13$926$926$9261.0×
imperial insurance companies13$1,479.81$1,479.81$1,825.11.2×
silver summit13$329.44$986.54$1,578.464.8×
keystone13$132.7$964.32$3,63427.4×
medica (commercial) 94265 [3081118]13$3,296.53$3,296.53$3,296.531.0×
Multiplan33$1,181.95$2,830.36$3,297.842.8×
intermountain healthcare (hcp)12$986.54$1,381.16$1,775.771.8×
employer direct healthcare22$1,298.12$1,339.64$1,381.161.1×
velocity provider ppo network22$1,108.08$2,099.91$3,091.732.8×
commercial | health services coalition | all plans22$1,072$1,072$1,0721.0×
commercial | teachers health trust | all plans22$2,007.18$2,007.18$2,007.181.0×
prime health services22$1,255.82$2,379.89$3,503.962.8×
national telephone cooperative assn 52103 [3081149]12$2,201.04$2,201.04$2,201.041.0×
naphcare22$1,437.21$1,483.18$1,529.141.1×
usa managed care organization22$1,108.08$2,099.91$3,091.732.8×
risk admin svs [3081167]12$1,170.2$1,170.2$1,170.21.0×
quik trip22$1,108.08$2,099.91$3,091.732.8×
Meritain Health12$3,812.86$3,812.86$3,812.861.0×
sierra health12$454.86$454.86$454.861.0×
commercial | health plan of nv | all plans22$1,729$1,729$1,7291.0×
three rivers11$1,126.14$1,126.14$1,126.141.0×
three rivers provider network11$1,255.82$1,255.82$1,255.821.0×
tlc advantage llc [3081189]11$3,733.42$3,733.42$3,733.421.0×
triwest11$976.67$976.67$976.671.0×
va black hills health care system 12115 [3081206]11$926$926$9261.0×
va ccn optum [3081339]11$926$926$9261.0×
worker compensation11$1,047.77$1,047.77$1,047.771.0×
6 degrees health11$1,973.08$1,973.08$1,973.081.0×
Workers Comp11$1,160.97$1,160.97$1,160.971.0×
alignment11$1,006.27$1,006.27$1,006.271.0×
allied benefit systems inc [3081320]11$3,812.86$3,812.86$3,812.861.0×
america's choice11$1,034.21$1,034.21$1,034.211.0×
americas choice provider network11$2,885.61$2,885.61$2,885.611.0×
Auto Insurance11$1,019.95$1,019.95$1,019.951.0×
avera health plans 46045 [3081018]11$2,919.22$2,919.22$2,919.221.0×
commercial | sierra health options | prime11$2,535$2,535$2,5351.0×
commercial | sierra health options | state of nv11$2,535$2,535$2,5351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM REHAB HOSP OF CENTENNIAL HILLSLAS VEGASNV8$4,122.3$4,122.3$998.48$3,091.73$3,503.96
ORTHOPEDIC SPECIALTY HOSPITALLAS VEGASNV32$3,971.72$3,971.72$926$2,201.04$3,812.86
ST. ROSE DOMINICAN - DELIMAHENDERSONNV12$329.44$1,315$4,552
PAM SPECIALTY HOSPITAL OF LAS VEGASLAS VEGASNV11$1,477.44$1,477.44$1,034.21$1,108.08$1,255.82
ST. ROSE DOMINICAN - SAN MARTINLAS VEGASNV10$329.44$1,072$4,552
MT. GRANT GENERAL HOSPITALHAWTHORNENV16$6,843$927$132.7$1,047.77$3,634
NORTH VISTA HOSPITALNORTH LAS VEGASNV22$4,885.53$986$326.15$1,006.27$3,283.7

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.