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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in SC

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Hospitals
14
Min
$238.79
Median
$878.67
Max
$2,082.74
Range multiplier
8.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid174$80.80$110.53$277.313.4×
Blue Cross Blue Shield572$80.80$321.78$3,249.4840.2×
UnitedHealthcare958$81.44$302.69$12,538154.0×
Medicare144$114.43$198.88$294.972.6×
Aetna837$29.10$65.50$886.5630.5×
no fault [114001]128$520.50$520.50$520.501.0×
Molina424$181.80$723.09$1,476.258.1×
Humana820$122.16$843.57$899.417.4×
univera healthcare [100169]118$100.03$192.95$469.664.7×
Cigna415$25.20$274.29$2,843.00112.8×
independent health [100165]114$181.01$303.88$426.752.4×
select health312$822.23$885.75$1,889.602.3×
absolute total care312$843.57$853.46$1,391.891.6×
WellCare110$122.16$207.99$301.722.5×
fidelis essential [100163]16$127.98$187.42$329.152.6×
amerigroup [350102]16$80.80$179.06$277.313.4×
beacon essential [350122]16$104.71$139.61$139.611.3×
clover insurance company36$877.31$877.31$877.311.0×
federal workers compensation [500100]16$520.50$520.50$520.501.0×
independent health essential [100166]16$80.80$179.06$277.313.4×
TRICARE16$116.34$195.32$274.292.4×
univera healthcare essential [100170]16$100.03$169.41$238.792.4×
VA Health16$104.71$189.50$274.292.6×
devoted health24$843.57$843.57$843.571.0×
fidelis dual advantage [450120]14$122.16$205.08$288.002.4×
hospice [550001]14$116.34$195.32$274.292.4×
iha first choice [800001]14$181.01$303.88$426.752.4×
medcost - sc33$50.44$56.53$58.511.2×
plotkin health33$60.00$60.00$60.001.0×
Multiplan33$90.00$90.00$90.001.0×
phcs33$90.00$90.00$90.001.0×
fidelis exchange [100164]12$139.61$234.38$329.152.4×
devoted health plan12$843.57$843.57$843.571.0×
upmc health plan [100181]12$209.41$271.51$333.601.6×
crime victims [100176]12$80.80$179.06$277.313.4×
covid19 hrsa [45013]12$116.34$195.32$274.292.4×
champ va [700002]12$116.34$195.32$274.292.4×
mvp healthcare [100168]12$152.49$247.34$342.192.2×
catholic health life pace [400005]12$116.34$195.32$274.292.4×
tuscarora nation [550120]12$80.80$179.06$277.313.4×
blue choice12$1,019.57$1,274.46$1,529.351.5×
beacon health options [100023]12$139.61$139.61$139.611.0×
fallon health [450115]12$116.34$195.32$274.292.4×
vna option mltc [350110]12$80.80$179.06$277.313.4×
excellus rochester mcd [350117]12$80.80$179.06$277.313.4×
ghi [100153]12$127.98$214.85$301.722.4×
seneca nation [450119]12$116.34$195.32$274.292.4×
nhc advantage11$2,550.00$2,550.00$2,550.001.0×
Meritain Health11$274.29$274.29$274.291.0×
pruitt health11$2,550.00$2,550.00$2,550.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roper Hospital Inc.CharlestonSC3$9,633.00$5,779.80$856.58$886.56$899.41
Roper St. Francis Hospital-BerkeleySummervilleSC3$9,633.00$5,779.80$856.58$886.56$899.41
Roper St. Francis Mt Pleasant HospitMt. PleasantSC3$9,545.25$5,727.15$848.96$878.67$891.41
Bon Secours St. Francis Xavier HospiCharlestonSC3$9,545.25$5,727.15$848.96$878.67$891.41
East Cooper Regional Medical CenterMt. PleasantSC14$759.47$36.90$847.79$8,579.00
Coastal Carolina Medical CenterHardeevilleSC14$759.47$25.20$843.57$12,403
Hilton Head HospitalHilton Head IslandSC14$759.47$32.20$843.57$12,538
Mary Black Memorial HospitalSpartanburgSC39$1,657.00$772.60$80.80$238.79$623.95
Colleton Medical CenterWalterboroSC8$743.40$2,082.74$6,342.00
Mcleod Regional Medical CenterFlorenceSC0
Mcleod Loris Seacoast HospitalLorisSC0
Mcleod Health CherawCherawSC0
Mcleod Health ClarendonManningSC0
Mcleod Medical Center - DillonDillonSC0

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.