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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in OK

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Hospitals
11
Min
$313.57
Median
$2,187.08
Max
$3,470.35
Range multiplier
11.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield433$313.57$2,074.61$3,949.6412.6×
healthcare highways [2210]629$926.5$1,610.12$3,470.353.7×
First Health814$69$1,674.23$3,731.8154.1×
Cigna812$70$1,494.57$3,236.8646.2×
Aetna412$69$844.53$1,956.728.4×
Multiplan810$90$2,545.59$3,731.8141.5×
community care29$70$1,494.57$1,744.6224.9×
Oscar Health89$46$982.15$2,20247.9×
healthcare highways38$25$773.33$1,496.359.9×
Humana38$69$844.53$1,473.2221.4×
pba [1775]77$1,470.41$2,633.27$4,386.383.0×
web tpa [2115]66$1,019.15$1,898.6$3,470.353.4×
UnitedHealthcare46$872.31$2,115.47$3,455.384.0×
oncology patient assistance programs [2295]66$926.5$1,164.75$2,2022.4×
hooray health [8000]66$926.5$1,164.75$2,2022.4×
black lung [6055]55$983.25$1,346.25$2,2022.2×
pending ssi [1616]55$3,706$4,267$5,6661.5×
the kempton group administrators [2905]55$1,667.7$1,769.85$3,963.62.4×
medica [2910]55$1,875.24$2,902.55$4,976.522.7×
osma health network [2345]55$926.5$983.25$2,2022.4×
national association of letter carriers [1695]55$1,470.41$2,338.32$2,770.671.9×
lucent health [6000]55$983.25$1,346.25$2,2022.2×
resource one administrators [2815]55$1,019.15$2,187.08$3,470.353.4×
healthpartners [1500]44$1,745.53$2,485.8$3,236.861.9×
Medicare24$872.31$872.31$872.311.0×
preferred community choice34$76$1,622.68$2,117.8427.9×
Ambetter23$1,221.24$1,221.24$1,221.241.0×
phcs23$70$1,494.57$1,494.5721.4×
healthcare solutions [1485]33$2,112.42$3,029.57$3,823.351.8×
sana benefits23$65$1,387.82$1,387.8221.4×
the kempton group23$2,180.78$2,180.78$2,180.781.0×
ufcw23$65$1,387.82$1,387.8221.4×
va ccn23$872.31$872.31$872.311.0×
webtpa chickasaw nation hch23$47$1,003.5$1,003.521.4×
webtpa hobby lobby hch23$53$1,131.6$1,131.621.4×
healthscope23$46$982.15$982.1521.4×
healthsmart [1505]33$3,150.1$3,626.95$4,577.251.5×
manhattan life23$69$1,473.22$1,473.2221.4×
global health23$63$1,345.11$1,345.1121.4×
global health [1430]33$2,438.46$2,645.54$3,338.71.4×
Medicare Advantage23$898.48$898.48$898.481.0×
beacon health options behavioral health [2890]22$2,438.46$3,112.95$3,787.441.6×
veterans eval services12$872.31$872.31$872.311.0×
universal fidelity [2085]22$2,556.45$2,797.69$3,038.921.2×
phcs [1780]12$2,927.74$2,983.33$3,038.921.0×
oklahoma health network (ohn)11$1,841.6$1,841.6$1,841.61.0×
community care [1290]11$2,927.74$2,927.74$2,927.741.0×
employee benefit management services [2445]11$2,927.74$2,927.74$2,927.741.0×
fmh benefit services [1390]11$2,927.74$2,927.74$2,927.741.0×
friday health plan11$1,342.52$1,342.52$1,342.521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
OKLAHOMA HEART HOSPITAL SOUTHOKLAHOMA CITYOK26$2,135.1$17,288$25$898.48$2,180.78
HILLCREST HOSPITAL CLAREMORECLAREMOREOK14$8,808$2,642.4$2,202$3,470.35$4,976.52
NOWATA HEALTH CENTERNOWATAOK3$139.96$313.57$313.57
HILLCREST HOSPITAL CUSHINGCUSHINGOK18$5,385$1,615.5$1,346.25$2,633.27$5,385
HILLCREST HOSPITAL PRYORPRYOROK20$3,933$1,179.9$983.25$2,556.45$3,933
BAILEY MEDICAL CENTEROWASSOOK37$3,706$1,111.8$926.5$2,520.08$3,706
HILLCREST HOSPITAL HENRYETTAHENRYETTAOK12$4,267$1,280.1$1,066.75$2,491.93$4,267
HILLCREST MEDICAL CENTERTULSAOK15$5,666$1,699.8$1,416.5$2,187.08$5,666
JEFFERSON COUNTY HOSPITALWAURIKAOK13$2,302$808$966.84$2,071.8$3,949.64
HILLCREST HOSPITAL SOUTHTULSAOK13$3,732$1,119.6$933$1,604.76$2,198.15
OKLAHOMA HEART HOSPITALOKLAHOMA CITYOK23$2,135.1$747.28$533.78$1,473.22$2,180.78

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.