▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in OH
Hospitals
28
Min
$322.49
Median
$1,644.24
Max
$3,459.80
Range multiplier
10.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| medical mutual of ohio | 17 | 111 | $615.60 | $1,621.67 | $3,724.72 | 6.1× |
| Aetna | 20 | 103 | $82.46 | $1,547.10 | $3,914.52 | 47.5× |
| UnitedHealthcare | 20 | 92 | $77.75 | $967.30 | $3,563.59 | 45.8× |
| Anthem BCBS | 18 | 91 | $143.14 | $1,998.22 | $4,433.00 | 31.0× |
| Cigna | 19 | 70 | $98.00 | $1,805.44 | $3,405.43 | 34.7× |
| ohio health choice | 18 | 66 | $294.70 | $2,186.60 | $3,934.29 | 13.4× |
| First Health | 19 | 46 | $82.40 | $2,675.92 | $3,874.97 | 47.0× |
| healthsmart | 17 | 40 | $231.55 | $2,095.60 | $4,201.18 | 18.1× |
| Medicare | 2 | 39 | $45.00 | $765.00 | $1,463.01 | 32.5× |
| the health plan | 18 | 37 | $143.14 | $2,031.48 | $3,459.80 | 24.2× |
| Multiplan | 17 | 34 | $2,143.80 | $2,901.60 | $4,695.44 | 2.2× |
| summacare | 16 | 33 | $143.14 | $869.16 | $2,455.72 | 17.2× |
| ohio preferred network | 16 | 32 | $315.75 | $2,691.20 | $3,027.60 | 9.6× |
| immergrun | 15 | 30 | $1,191.00 | $1,612.00 | $2,018.40 | 1.7× |
| amish aid community plan | 15 | 30 | $1,095.72 | $1,483.04 | $1,682.00 | 1.5× |
| amish church fund and workers aid plan | 15 | 30 | $1,095.72 | $1,483.04 | $1,682.00 | 1.5× |
| beech street | 15 | 30 | $1,905.60 | $2,691.20 | $3,027.60 | 1.6× |
| buckeye plain ministries | 15 | 30 | $1,095.72 | $1,483.04 | $1,682.00 | 1.5× |
| private healthcare system | 15 | 30 | $2,048.52 | $2,772.64 | $2,893.04 | 1.4× |
| century health network | 15 | 30 | $2,024.70 | $2,740.40 | $2,859.40 | 1.4× |
| christian healthcare ministries | 15 | 30 | $1,191.00 | $1,612.00 | $1,682.00 | 1.4× |
| clarity | 15 | 30 | $1,477.44 | $1,547.52 | $2,354.80 | 1.6× |
| configurenet | 15 | 30 | $2,143.80 | $2,901.60 | $3,027.60 | 1.4× |
| fortified provider network | 15 | 30 | $2,143.80 | $2,901.60 | $3,027.60 | 1.4× |
| Humana | 20 | 28 | $53.10 | $869.16 | $4,695.44 | 88.4× |
| medical mutual traditional/health ohio | 11 | 22 | $1,667.40 | $2,256.80 | $2,354.80 | 1.4× |
| Medicaid | 2 | 22 | $77.75 | $243.36 | $1,700.00 | 21.9× |
| aultcare | 16 | 22 | $143.14 | $1,773.20 | $2,220.24 | 15.5× |
| transplants-case rates [5750] | 1 | 22 | $35.00 | $338.73 | $1,401.82 | 40.1× |
| Molina | 18 | 21 | $143.14 | $869.16 | $2,229.10 | 15.6× |
| CareSource | 16 | 18 | $146.01 | $1,564.48 | $1,816.56 | 12.4× |
| jp farley | 14 | 16 | $1,446.66 | $1,547.52 | $2,143.80 | 1.5× |
| Ambetter | 15 | 16 | $1,108.08 | $1,564.48 | $1,883.84 | 1.7× |
| sunrise plan communities | 8 | 16 | $1,539.00 | $1,612.00 | $1,612.00 | 1.0× |
| perennial advantage of ohio | 15 | 15 | $646.38 | $912.61 | $1,001.89 | 1.6× |
| primetime health plan | 15 | 15 | $615.60 | $869.16 | $954.18 | 1.5× |
| valor health plans | 15 | 15 | $646.38 | $912.61 | $1,001.89 | 1.6× |
| WellCare | 15 | 15 | $615.60 | $869.16 | $954.18 | 1.5× |
| paramount | 15 | 15 | $634.07 | $895.23 | $982.81 | 1.6× |
| university health employee plan (contigo) | 13 | 14 | $1,386.00 | $1,441.44 | $1,682.00 | 1.2× |
| devoted health | 14 | 14 | $615.60 | $869.16 | $869.16 | 1.4× |
| sunrise plain communities | 7 | 14 | $1,191.00 | $1,682.00 | $1,682.00 | 1.4× |
| Blue Cross Blue Shield | 2 | 12 | $98.00 | $1,033.23 | $1,666.00 | 17.0× |
| enterprise group planning | 4 | 8 | $1,883.84 | $1,883.84 | $2,354.80 | 1.3× |
| commercial-contracted [8000] | 1 | 8 | $48.00 | $445.50 | $1,275.00 | 26.6× |
| health ohio network | 4 | 8 | $1,951.12 | $1,951.12 | $2,253.88 | 1.2× |
| medical mutual | 1 | 5 | $143.14 | $286.28 | $307.33 | 2.1× |
| ohio ppo connect | 2 | 4 | $3,459.80 | $3,459.80 | $3,459.80 | 1.0× |
| integrated health plan | 1 | 2 | $4,695.44 | $4,695.44 | $4,695.44 | 1.0× |
| medical mutual of ohio supermed | 1 | 2 | $3,724.72 | $3,724.72 | $3,724.72 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Lukes Hospital | Maumee | OH | 12 | $10,441 | $5,220.66 | $77.75 | $450.00 | $1,463.01 |
| Adams County Regional Medical Center | Seaman | OH | 10 | $4,098.55 | $2,459.13 | $35.00 | $419.18 | $1,700.00 |
| Adena Regional Medical Center | Chillicothe | OH | 21 | $4,942.57 | $2,471.29 | $893.40 | $3,459.80 | $4,695.44 |
| Fayette County Memorial Hosp | Washington Court House | OH | 18 | $4,942.57 | $2,471.29 | $1,680.47 | $3,276.92 | $5,585.10 |
| Twin City Hospital | Dennison | OH | 16 | $421.00 | $208.82 | $122.00 | $322.49 | $4,072.01 |
| Rainbow Babies & Childrens Hospital | Cleveland | OH | 40 | $3,364.00 | $2,523.00 | $869.16 | $2,129.41 | $3,027.60 |
| Uh Samaritan Medical Center | Ashland | OH | 38 | $2,382.00 | $1,786.50 | $783.89 | $2,000.88 | $2,360.56 |
| Uh Geneva Medical Center | Geneva | OH | 37 | $3,078.00 | $2,308.50 | $615.60 | $1,961.00 | $3,078.00 |
| Uh Conneaut Medical Center | Conneaut | OH | 38 | $3,078.00 | $2,308.50 | $954.18 | $1,961.00 | $3,078.00 |
| University Hospitals Rehab Hospital | Beachwood | OH | 40 | $3,364.00 | $2,523.00 | $869.16 | $1,883.84 | $3,027.60 |
| University Hospitals Avon Rehab Hosp | Avon | OH | 40 | $3,364.00 | $2,523.00 | $869.16 | $1,883.84 | $3,027.60 |
| Uh Cleveland Medical Center | Cleveland | OH | 40 | $3,364.00 | $2,523.00 | $869.16 | $1,883.84 | $3,027.60 |
| Uh Ahuja Medical Center | Beachwood | OH | 38 | $3,224.00 | $2,418.00 | $744.74 | $1,644.24 | $3,232.30 |
| Uh Parma Medical Center | Parma | OH | 37 | $3,224.00 | $2,418.00 | $869.16 | $1,612.00 | $2,901.60 |
| Uh St. John Medical Center | Westlake | OH | 38 | $3,224.00 | $2,418.00 | $869.16 | $1,612.00 | $2,901.60 |
| Uh Elyria Medical Center | Elyria | OH | 38 | $3,224.00 | $2,418.00 | $869.16 | $1,612.00 | $2,901.60 |
| Uh Portage Medical Center | Ravenna | OH | 37 | $3,224.00 | $2,418.00 | $773.76 | $1,612.00 | $2,901.60 |
| Uh Geauga Medical Center | Chardon | OH | 37 | $3,224.00 | $2,418.00 | $831.79 | $1,612.00 | $3,263.98 |
| Uh Regional Hospitals | Richmond Heights | OH | 37 | $3,224.00 | $2,418.00 | $831.79 | $1,612.00 | $3,263.98 |
| Lake Hospital System | Concord | OH | 36 | $3,224.00 | $2,418.00 | $869.16 | $1,612.00 | $2,901.60 |
| Harrison Community Hospital | Cadiz | OH | 0 | $269.00 | $134.50 | — | — | — |
| Barnesville Hospital | Barnesville | OH | 0 | $4,711.00 | $2,355.50 | — | — | — |
| Trumbull Memorial Hospital | Warren | OH | 0 | $2,800.00 | $2,240.00 | — | — | — |
| Wayne Hospital Company | Greenville | OH | 0 | $26,318 | $19,738 | — | — | — |
| Summa Rehab Hospital | Akron | OH | 0 | $2,834.00 | — | — | — | — |
| Bethesda Hospital | Cincinnati | OH | 0 | $2,420.00 | $1,815.00 | — | — | — |
| Good Samaritan Hospital | Cincinnati | OH | 0 | $2,420.00 | $1,815.00 | — | — | — |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $287.00 | $215.25 | — | — | — |
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.