▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$235.71
Median
$604.97
Max
$2,102.83
Range multiplier
8.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 106 | $67.20 | $375.38 | $5,440.01 | 81.0× |
| UnitedHealthcare | 9 | 60 | $79.52 | $400.78 | $10,588 | 133.1× |
| Aetna | 9 | 50 | $96.56 | $752.80 | $9,784.00 | 101.3× |
| Emblem Health | 4 | 46 | $80.80 | $1,029.26 | $5,536.01 | 68.5× |
| Healthfirst | 3 | 31 | $110.49 | $867.77 | $5,536.01 | 50.1× |
| Empire BCBS | 3 | 31 | $124.30 | $1,086.01 | $5,536.01 | 44.5× |
| Medicaid | 2 | 25 | $68.68 | $195.73 | $973.67 | 14.2× |
| mvp | 4 | 25 | $96.56 | $598.19 | $5,536.01 | 57.3× |
| capital district physicians' health plan | 3 | 24 | $179.32 | $263.70 | $3,165.81 | 17.7× |
| Medicare | 2 | 22 | $96.56 | $245.26 | $1,245.39 | 12.9× |
| fidelis care | 4 | 22 | $96.56 | $127.80 | $1,203.84 | 12.5× |
| Cigna | 5 | 12 | $147.30 | $711.73 | $6,539.00 | 44.4× |
| Multiplan | 3 | 11 | $728.10 | $1,174.50 | $3,815.20 | 5.2× |
| magnacare | 5 | 11 | $647.20 | $1,316.00 | $3,527.50 | 5.5× |
| amerihealth | 1 | 10 | $131.48 | $206.61 | $1,164.94 | 8.9× |
| Humana | 6 | 10 | $96.56 | $798.14 | $1,176.04 | 12.2× |
| [magnacare] | 1 | 10 | $766.80 | $981.80 | $2,021.60 | 2.6× |
| fidelis | 2 | 9 | $135.11 | $2,147.71 | $5,536.01 | 41.0× |
| choicecare | 2 | 8 | $124.96 | $535.41 | $2,534.40 | 20.3× |
| [fidelis] | 1 | 6 | $138.11 | $1,045.30 | $2,342.84 | 17.0× |
| martins point | 3 | 6 | $263.70 | $484.65 | $1,226.86 | 4.7× |
| mvp 2900 | 1 | 6 | $106.72 | $260.60 | $2,481.73 | 23.3× |
| oxford | 2 | 6 | $649.57 | $1,365.68 | $8,400.00 | 12.9× |
| VA Health | 3 | 6 | $113.60 | $409.60 | $1,203.84 | 10.6× |
| geisinger | 1 | 6 | $181.57 | $200.35 | $457.60 | 2.5× |
| [metroplus] | 1 | 6 | $241.69 | $1,109.68 | $1,971.06 | 8.2× |
| [urn] | 1 | 5 | $830.70 | $1,017.90 | $1,794.17 | 2.2× |
| Molina | 3 | 4 | $117.95 | $1,834.89 | $5,536.01 | 46.9× |
| [oxford] | 1 | 4 | $653.08 | $4,559.74 | $10,038 | 15.4× |
| excellus 2201 | 1 | 4 | $96.56 | $281.38 | $488.70 | 5.1× |
| fidelis 5155 | 1 | 4 | $133.79 | $236.25 | $370.29 | 2.8× |
| First Health | 2 | 4 | $687.65 | $1,780.65 | $3,614.40 | 5.3× |
| harvard pilgrim | 2 | 4 | $647.20 | $1,653.20 | $3,212.80 | 5.0× |
| independent health 5156 | 1 | 4 | $148.45 | $260.17 | $406.68 | 2.7× |
| st. regis | 2 | 4 | $705.60 | $772.00 | $1,145.53 | 1.6× |
| univera | 1 | 4 | $98.89 | $111.51 | $145.43 | 1.5× |
| wellpath | 2 | 4 | $159.04 | $938.67 | $1,805.76 | 11.4× |
| emblemhealth | 1 | 3 | $242.83 | $1,054.00 | $1,622.00 | 6.7× |
| centers plan for healthy living | 2 | 3 | $138.76 | $990.36 | $1,109.47 | 8.0× |
| pennsylvania health and wellness | 1 | 3 | $165.29 | $187.83 | $429.00 | 2.6× |
| vns | 1 | 2 | $990.36 | $1,725.41 | $2,460.45 | 2.5× |
| Medicare Advantage | 1 | 2 | $929.52 | $954.27 | $979.01 | 1.1× |
| metroplus | 1 | 2 | $135.11 | $602.18 | $1,069.25 | 7.9× |
| urn | 1 | 2 | $1,017.90 | $1,092.93 | $1,167.95 | 1.1× |
| capital district physicians health plan (cdphp) 5149 | 1 | 2 | $296.58 | $502.26 | $707.94 | 2.4× |
| Anthem BCBS | 1 | 2 | $117.95 | $117.95 | $117.95 | 1.0× |
| american health plans | 1 | 2 | $124.91 | $617.19 | $1,109.47 | 8.9× |
| jefferson health plans | 1 | 2 | $191.59 | $314.59 | $437.58 | 2.3× |
| 6 degrees health | 1 | 2 | $1,044.00 | $1,180.00 | $1,316.00 | 1.3× |
| life pittsburgh | 1 | 2 | $113.55 | $611.51 | $1,109.47 | 9.8× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Champlain Valley Physicians Hospital | Plattsburgh | NY | 16 | $4,016.00 | $4,016.00 | $96.56 | $604.97 | $5,440.01 |
| Elizabethtown Community Hospital | Elizabethtown | NY | 16 | $3,168.00 | $3,168.00 | $96.56 | $598.19 | $2,917.73 |
| Alice Hyde Medical Center | Malone | NY | 12 | $2,205.00 | $2,205.00 | $96.56 | $429.26 | $9,020.04 |
| Westfield Memorial Hospital | Westfield | NY | 15 | $341.00 | $75.02 | $98.89 | $237.27 | $2,130.18 |
| Fredrick Ferris Thompson Hospital | Canandaigua | NY | 13 | $3,051.00 | $1,526.00 | $67.20 | $235.71 | $3,137.37 |
| Stony Brook University Hospital | Stony Brook | NY | 16 | $2,196.99 | $2,196.99 | $467.37 | $2,102.83 | $5,108.00 |
| St. Josephs Medical Center | Yonkers | NY | 15 | $4,565.00 | $990.36 | $990.36 | $1,451.45 | $5,536.01 |
| Nassau University Medical Center | East Meadow | NY | 11 | $1,119.00 | $783.30 | $117.95 | $1,073.38 | $3,079.00 |
| Memorial Hospital For Cancer And All | New York | NY | 18 | $2,527.00 | $2,527.00 | $80.80 | $1,009.36 | $10,588 |
| Nyu Langone Hospitals | New York | NY | 0 | $3,344.09 | $635.38 | — | — | — |
| Eastern Long Island Hospital | Greenport | NY | 0 | $3,344.09 | $635.38 | — | — | — |
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.