▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$110.62
Median
$897.90
Max
$998.50
Range multiplier
9.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 13 | 82 | $110.62 | $1,004.50 | $2,183.00 | 19.7× |
| Blue Cross Blue Shield | 12 | 67 | $282.33 | $898.91 | $2,244.00 | 7.9× |
| UnitedHealthcare | 12 | 63 | $60.84 | $898.91 | $2,610.00 | 42.9× |
| Medicare | 9 | 31 | $110.62 | $888.92 | $942.80 | 8.5× |
| Humana | 12 | 26 | $110.62 | $884.96 | $897.90 | 8.1× |
| Aetna | 11 | 22 | $110.62 | $915.86 | $1,475.10 | 13.3× |
| Medicare Advantage | 8 | 18 | $858.52 | $897.90 | $897.90 | 1.0× |
| Ambetter | 11 | 18 | $154.87 | $1,167.27 | $1,941.00 | 12.5× |
| healthspring mcr replacement | 7 | 14 | $884.96 | $897.90 | $897.90 | 1.0× |
| smart health | 7 | 14 | $1,238.94 | $1,257.06 | $1,257.06 | 1.0× |
| point comfort underwriters | 7 | 14 | $796.46 | $808.11 | $808.11 | 1.0× |
| amerigroup mcr replacement | 7 | 14 | $884.96 | $897.90 | $924.84 | 1.0× |
| optum va | 7 | 14 | $884.96 | $897.90 | $897.90 | 1.0× |
| nhc advantage | 7 | 14 | $884.96 | $897.90 | $897.90 | 1.0× |
| centurion of tn | 7 | 14 | $884.96 | $897.90 | $897.90 | 1.0× |
| Medicaid | 1 | 12 | $250.00 | $671.62 | $688.35 | 2.8× |
| ascension complete | 6 | 12 | $884.96 | $891.43 | $897.90 | 1.0× |
| wellpoint | 3 | 9 | $898.91 | $898.91 | $1,391.00 | 1.5× |
| farm bureau | 4 | 7 | $112.83 | $790.13 | $790.13 | 7.0× |
| TRICARE | 5 | 7 | $810.88 | $856.10 | $861.98 | 1.1× |
| Oscar Health | 7 | 7 | $1,238.94 | $1,257.06 | $1,257.06 | 1.0× |
| Self-Pay (Cash) | 7 | 7 | $884.96 | $897.90 | $897.90 | 1.0× |
| triwest va pccc | 3 | 6 | $897.90 | $897.90 | $897.90 | 1.0× |
| devoted health | 3 | 6 | $898.91 | $898.91 | $898.91 | 1.0× |
| Molina | 1 | 4 | $671.62 | $755.58 | $839.53 | 1.3× |
| WellCare | 4 | 4 | $110.62 | $898.91 | $898.91 | 8.1× |
| community plan | 4 | 4 | $372.80 | $372.80 | $372.80 | 1.0× |
| correctional medical services | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| medsave usa | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| national provider network | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| novanet | 3 | 3 | $75.00 | $75.00 | $75.00 | 1.0× |
| beech street | 3 | 3 | $85.00 | $85.00 | $85.00 | 1.0× |
| optum | 3 | 3 | $856.10 | $856.10 | $856.10 | 1.0× |
| direct care america | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| ehn | 3 | 3 | $45.00 | $45.00 | $45.00 | 1.0× |
| galaxy health network | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| usa managed care organization | 3 | 3 | $70.00 | $70.00 | $70.00 | 1.0× |
| community services network | 3 | 3 | $65.00 | $65.00 | $65.00 | 1.0× |
| initial group | 3 | 3 | $88.00 | $88.00 | $88.00 | 1.0× |
| ccn managed care | 3 | 3 | $85.00 | $85.00 | $85.00 | 1.0× |
| transplant optum tenncare [350013] | 1 | 2 | $732.00 | $732.00 | $732.00 | 1.0× |
| americhoice mcr replacement | 1 | 2 | $844.03 | $866.48 | $888.92 | 1.1× |
| va hospital [600005] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| american health advantage mcr adv [450117] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| langston performance health [100405] | 1 | 2 | $2,439.00 | $2,439.00 | $2,439.00 | 1.0× |
| carecentrix [450200] | 1 | 2 | $858.52 | $858.52 | $858.52 | 1.0× |
| devoted health [450111] | 1 | 2 | $884.28 | $884.28 | $884.28 | 1.0× |
| amerigroup | 2 | 2 | $96.79 | $465.92 | $835.05 | 8.6× |
| naphcare | 1 | 1 | $165.93 | $165.93 | $165.93 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St Thomas Hickman Hospital | Centerville | TN | 1 | — | — | $954.50 | $998.50 | $1,467.00 |
| Fort Loudoun Medical Center | Lenoir City | TN | 24 | — | — | $45.00 | $898.91 | $2,610.00 |
| Morristown-Hamblen Hospital | Morristown | TN | 24 | — | — | $45.00 | $898.91 | $2,610.00 |
| Roane County Medical Center | Harriman | TN | 24 | — | — | $45.00 | $898.91 | $2,610.00 |
| Saint Thomas Midtown Hospital | Nashville | TN | 21 | — | — | $733.50 | $897.90 | $1,614.00 |
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 19 | $3,643.85 | $1,093.16 | $808.11 | $897.90 | $2,183.00 |
| Saint Thomas West Hospital | Nashville | TN | 19 | $3,643.85 | $1,093.16 | $808.11 | $897.90 | $2,183.00 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 19 | $3,643.85 | $1,093.16 | $372.80 | $897.90 | $1,467.00 |
| Saint Thomas Highland Hospital | Sparta | TN | 19 | $3,643.85 | $1,093.16 | $372.80 | $884.96 | $1,467.00 |
| St Thomas Dekalb Hospital | Smithville | TN | 19 | $3,643.85 | $1,093.16 | $372.80 | $884.96 | $1,467.00 |
| Ascension St Thomas River Park | Mcminnville | TN | 20 | $3,643.85 | $1,093.16 | $372.80 | $884.96 | $1,467.00 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 16 | $10,886 | $2,394.99 | $250.00 | $858.52 | $2,439.00 |
| Metro Nashville General Hospital | Nashville | TN | 17 | $2,682.00 | $1,609.20 | $60.84 | $110.62 | $1,475.10 |
| St Thomas Ascension | Nashville | TN | 0 | $8,002.37 | $1,976.59 | — | — | — |
| Big South Fork Medical Center | Oneida | TN | 0 | $137.00 | $41.01 | — | — | — |
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.