▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in TX
Hospitals
76
Min
$80.00
Median
$1,040.42
Max
$3,780.00
Range multiplier
47.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 61 | 330 | $55.00 | $1,171.02 | $12,531 | 227.8× |
| UnitedHealthcare | 57 | 173 | $33.84 | $1,300.40 | $6,444.00 | 190.4× |
| Aetna | 56 | 119 | $70.00 | $881.72 | $5,189.00 | 74.1× |
| Cigna | 45 | 87 | $80.00 | $2,975.00 | $25,061 | 313.3× |
| baylor scott & white health plan | 21 | 84 | $759.36 | $1,013.24 | $1,409.45 | 1.9× |
| Humana | 48 | 83 | $65.00 | $829.02 | $3,704.00 | 57.0× |
| Medicaid | 22 | 55 | $214.90 | $287.68 | $2,004.07 | 9.3× |
| superior health plan | 22 | 41 | $334.95 | $799.33 | $924.08 | 2.8× |
| Medicare | 11 | 36 | $460.37 | $830.63 | $972.74 | 2.1× |
| Anthem BCBS | 3 | 25 | $154.21 | $154.21 | $2,287.00 | 14.8× |
| prime health services | 21 | 25 | $837.38 | $868.81 | $16,290 | 19.5× |
| healthsmart | 19 | 24 | $118.00 | $3,282.00 | $3,937.20 | 33.4× |
| american health plan | 22 | 22 | $839.30 | $870.47 | $896.92 | 1.1× |
| procare advantage | 21 | 21 | $839.30 | $870.47 | $896.92 | 1.1× |
| triwest | 21 | 21 | $799.33 | $829.02 | $854.21 | 1.1× |
| Ambetter | 20 | 20 | $460.37 | $1,716.07 | $1,892.75 | 4.1× |
| Multiplan | 15 | 18 | $280.00 | $2,266.88 | $4,903.00 | 17.5× |
| healthspring | 18 | 18 | $839.30 | $870.47 | $873.24 | 1.0× |
| corvel | 17 | 17 | $837.38 | $868.48 | $894.87 | 1.1× |
| healthcare highways [2210] | 5 | 15 | $535.75 | $773.68 | $1,077.57 | 2.0× |
| commercial | phcs | all plans | 11 | 11 | $2,125.00 | $4,487.00 | $4,487.00 | 2.1× |
| Molina | 9 | 10 | $351.70 | $867.24 | $1,621.20 | 4.6× |
| wellpoint | 6 | 10 | $365.10 | $1,026.24 | $1,760.16 | 4.8× |
| wellpoint (fka amerigroup) | 5 | 10 | $334.95 | $594.42 | $856.61 | 2.6× |
| web tpa [2115] | 5 | 10 | $535.75 | $1,201.86 | $2,072.25 | 3.9× |
| wellmed | 9 | 9 | $65.00 | $864.00 | $880.35 | 13.5× |
| Medicare Advantage | 3 | 8 | $315.16 | $460.37 | $610.22 | 1.9× |
| commercial | entrust | all plans | 8 | 8 | $1,610.26 | $1,912.49 | $2,130.64 | 1.3× |
| commercial | community health choice | exchange | 7 | 7 | $826.26 | $1,215.20 | $1,215.93 | 1.5× |
| sedgwick | 6 | 6 | $1,195.00 | $1,226.02 | $1,277.04 | 1.1× |
| First Health | 4 | 6 | $240.00 | $2,888.93 | $4,202.00 | 17.5× |
| scott & white | 5 | 6 | $1,408.56 | $1,408.56 | $3,288.72 | 2.3× |
| healthscope benefits [2290] | 5 | 6 | $357.08 | $721.50 | $1,077.57 | 3.0× |
| commercial | beechstreet | all plans | 6 | 6 | $1,241.00 | $1,241.00 | $1,241.00 | 1.0× |
| velocity provider ppo network | 3 | 5 | $1,021.01 | $3,091.73 | $3,091.73 | 3.0× |
| commercial | superior health plan | all plans | 5 | 5 | $1,215.20 | $1,215.93 | $1,215.93 | 1.0× |
| commercial | nxhealth | all plans | 5 | 5 | $2,616.67 | $2,632.92 | $2,634.52 | 1.0× |
| commercial | kelseycare | exchange | 5 | 5 | $1,093.68 | $1,094.34 | $1,094.34 | 1.0× |
| commercial | kelseycare | all plans | 5 | 5 | $942.30 | $942.30 | $942.30 | 1.0× |
| commercial | independent med system | all plans | 5 | 5 | $1,675.00 | $1,675.00 | $1,675.00 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $1,215.20 | $1,215.93 | $1,215.93 | 1.0× |
| 90 degree benefits | 5 | 5 | $864.00 | $2,200.88 | $2,200.88 | 2.5× |
| commercial | renaissance | all plans | 5 | 5 | $583.29 | $583.65 | $583.65 | 1.0× |
| amerigroup commercial [5055] | 4 | 4 | $535.75 | $721.50 | $1,077.57 | 2.0× |
| care improvement | 4 | 4 | $880.35 | $880.35 | $880.35 | 1.0× |
| provider network of america | 3 | 4 | $1,705.05 | $3,091.73 | $3,091.73 | 1.8× |
| caprock | 4 | 4 | $2,200.88 | $2,200.88 | $2,200.88 | 1.0× |
| commercial | galaxy | all plans | 4 | 4 | $2,119.05 | $2,914.56 | $2,914.56 | 1.4× |
| black lung [6055] | 4 | 4 | $535.75 | $721.50 | $1,077.57 | 2.0× |
| mhs care connect | 2 | 4 | $214.90 | $214.90 | $214.90 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Baylor S&W Medical Center - Irving | Irving | TX | 16 | — | — | $334.95 | $994.82 | $4,042.00 |
| Baylor University Medical Ctr | Dallas | TX | 17 | — | — | $334.95 | $974.10 | $4,042.00 |
| St. Joseph Regional Health Center | Bryan | TX | 10 | $2,500.00 | $875.00 | $275.42 | $973.97 | $4,168.00 |
| College Station Medical Center | College Station | TX | 10 | $2,500.00 | $875.00 | $275.42 | $973.97 | $4,168.00 |
| Grimes St. Joseph Health Center | Navasota | TX | 4 | $2,500.00 | $875.00 | $275.42 | $973.97 | $4,168.00 |
| Baylor S&W All Saints Medical Center | Fort Worth | TX | 17 | — | — | $334.95 | $956.41 | $4,042.00 |
| Baylor Scott & White Mc- Lake Pointe | Rowlett | TX | 17 | — | — | $334.95 | $953.37 | $4,042.00 |
| Centennial Medical Center | Frisco | TX | 17 | — | — | $334.95 | $953.37 | $4,042.00 |
| St Lukes Hospital At The Vintage | Houston | TX | 19 | — | — | $287.68 | $950.15 | $4,487.00 |
| Texas Rehabilitation Hospital Of Kel | Keller | TX | 13 | $3,211.00 | $321.10 | $802.75 | $944.04 | $1,640.82 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 18 | — | — | $287.68 | $942.30 | $4,487.00 |
| St. Lukes Patients Medical Center | Pasadena | TX | 14 | $2,493.00 | $872.55 | $273.30 | $895.00 | $4,487.00 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 17 | — | — | $287.68 | $893.34 | $4,487.00 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 18 | — | — | $287.68 | $893.07 | $4,487.00 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 18 | — | — | $287.68 | $879.52 | $4,487.00 |
| North Texas Medical Center | Gainsville | TX | 17 | $7,004.00 | $1,751.00 | $160.00 | $864.00 | $6,444.00 |
| Scott & White Cedar Park | Cedar Park | TX | 1 | — | — | $851.37 | $851.37 | $851.37 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 10 | $3,238.40 | $1,133.44 | $263.85 | $851.06 | $2,914.56 |
| Brazosport Regional Health System | Lake Jackson | TX | 10 | — | — | $287.68 | $826.26 | $3,348.00 |
| Baylor County Hospital District | Seymour | TX | 9 | $1,750.00 | $1,225.00 | $65.00 | $80.00 | $800.48 |
| Seton Medical Center Harker Heights | Harker Heights | TX | 14 | $1,983.80 | $198.38 | $267.42 | $773.68 | $1,717.97 |
| Limestone Medical Center | Groesbeck | TX | 7 | $2,104.20 | $1,262.52 | $315.16 | $743.49 | $1,683.36 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 11 | $3,238.40 | $1,133.44 | $263.85 | $738.03 | $2,914.56 |
| Clay County Memorial Hospital | Henrietta | TX | 5 | $3,859.00 | $2,701.00 | $118.00 | $717.00 | $1,235.00 |
| Ut Health East Texas Specialty Hospi | Tyler | TX | 10 | $2,561.00 | $256.10 | $640.25 | $640.25 | $1,608.31 |
| Lifecare Spec Hosp Of North Texas | Dallas | TX | 11 | $2,143.00 | $214.30 | $488.80 | $535.75 | $2,004.07 |
| Dimmit Regional Hospital District | Carrizo Springs | TX | 3 | $1,059.00 | $635.00 | $175.00 | $443.00 | $1,017.00 |
| Trinity Regional Hospital Sachse | Sachse | TX | 8 | $859.00 | $687.20 | $109.69 | $385.30 | $2,460.37 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 3 | — | — | $55.00 | $3,780.00 | $8,427.00 |
| Childrens Medical Center Of Plano | Plano | TX | 31 | $4,632.00 | $3,474.00 | $236.71 | $3,242.40 | $4,493.04 |
| Corpus Christi Specialty Hospital | Corpus Christi | TX | 8 | $4,122.30 | $4,122.30 | $2,885.61 | $3,091.73 | $3,710.07 |
| Eastland Memorial Hospital | Eastland | TX | 3 | $3,800.00 | $1,900.00 | $2,356.00 | $2,717.00 | $3,420.00 |
| Crescent Medical Center Lancaster | Lancaster | TX | 12 | $25,061 | $16,290 | $743.00 | $2,416.00 | $117,621 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | $5,170.00 | $3,102.00 | $825.87 | $2,370.00 | $3,538.00 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | $4,538.00 | $2,722.80 | $825.87 | $2,370.00 | $3,538.00 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 8 | $878.06 | $702.45 | $109.69 | $234.20 | $385.30 |
| Golden Plains Community Hospital | Borger | TX | 6 | $470.00 | $329.00 | $86.48 | $220.90 | $319.60 |
| Ascension Seton Bastrop | Bastrop | TX | 18 | — | — | $33.84 | $214.90 | $460.37 |
| Ascension Seton Shoal Creek | Austin | TX | 18 | — | — | $33.84 | $214.90 | $460.37 |
| Glen Rose Medical Center | Glen Rose | TX | 8 | $2,859.00 | $2,859.00 | $1,315.00 | $2,001.00 | $2,716.00 |
| Baptist Saint Anthonys Hospital | Amarillo | TX | 80 | $2,763.00 | $276.30 | $822.79 | $1,934.10 | $2,348.55 |
| Falls Community Hospital And Clinic | Marlin | TX | 6 | $2,682.00 | $2,145.60 | $825.51 | $1,877.40 | $3,536.64 |
| Acuity Hospital Of South Texas | San Antonio | TX | 11 | $2,273.40 | $2,273.40 | $117.50 | $1,705.05 | $2,046.06 |
| River Crest Hospital | San Angelo | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| Big Spring State Hospital | Big Springs | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| San Angelo Community Medical Center | San Angelo | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| Shannon Medical Center | San Angelo | TX | 14 | — | — | $351.70 | $1,434.97 | $2,239.87 |
| Scott & White Hospital Brenham | Brenham | TX | 5 | — | — | $1,163.16 | $1,414.66 | $3,500.00 |
| Crane County Hospital District | Crane | TX | 2 | $2,084.00 | $1,459.00 | $1,271.00 | $1,290.00 | $1,876.00 |
| Hillcrest Baptist Medical Center | Waco | TX | 15 | — | — | $334.95 | $1,163.16 | $3,704.00 |
| Scott And White Hospital Taylor | Taylor | TX | 11 | — | — | $334.95 | $1,163.16 | $4,419.00 |
| Mid Coast Medical Center-Central | Llano | TX | 11 | — | — | $334.95 | $1,163.16 | $4,419.00 |
| Scott And White Memorial Hospital | Temple | TX | 16 | — | — | $334.95 | $1,163.16 | $4,419.00 |
| College Station Hospital | College Station | TX | 15 | — | — | $811.50 | $1,163.16 | $3,704.00 |
| Baylor Scott & White Pflugerville | Pflugerville | TX | 15 | — | — | $334.95 | $1,163.16 | $4,419.00 |
| Bsw Medical Center - Austin | Austin | TX | 11 | — | — | $334.95 | $1,163.16 | $4,419.00 |
| Baylor Heart And Vascular Hospital | Dallas | TX | 10 | — | — | $787.57 | $1,148.95 | $5,189.00 |
| Madison St. Joseph Health Center | Madisonville | TX | 7 | $2,500.00 | $875.00 | $275.42 | $1,130.11 | $4,168.00 |
| St Lukes Health Memorial San August | San Augustine | TX | 9 | $3,238.40 | $1,133.44 | $275.42 | $1,130.11 | $2,914.56 |
| Round Rock Hospital | Round Rock | TX | 17 | — | — | $334.95 | $1,090.38 | $4,419.00 |
| Baylor Scott & White - Buda | Buda | TX | 11 | — | — | $334.95 | $1,090.38 | $4,419.00 |
| Baylor Scott & White - Marble Falls | Marble Falls | TX | 15 | — | — | $334.95 | $1,083.16 | $3,704.00 |
| Burleson St. Joseph Health Center | Caldwell | TX | 7 | $2,500.00 | $875.00 | $275.42 | $1,070.63 | $2,250.00 |
| Pam Squared At Corpus Christi | Corpus Chrsti | TX | 26 | $4,122.30 | $4,122.30 | $112.76 | $1,063.55 | $3,503.96 |
| Baylor Scott & White Wmc - Brenham | Brenham | TX | 15 | — | — | $334.95 | $1,040.42 | $5,189.00 |
| Baylor S&W Medical Center - Plano | Plano | TX | 15 | — | — | $334.95 | $1,040.42 | $4,042.00 |
| Baylor S&W Medical Center - Mckinney | Mckinney | TX | 15 | — | — | $334.95 | $1,040.42 | $4,042.00 |
| The Heart Hospital Baylor Plano | Plano | TX | 15 | — | — | $334.95 | $1,040.42 | $5,189.00 |
| Baylor Medical Center-Grapevine | Grapevine | TX | 15 | — | — | $334.95 | $1,020.86 | $4,042.00 |
| Trustpoint Rehabilitation Hospital O | Lubbock | TX | 0 | $2,834.00 | — | — | — | — |
| Nocona General Hospital | Nocona | TX | 0 | $2,475.00 | $27.85 | — | — | — |
| Laredo Medical Center | Laredo | TX | 0 | $11,711 | $2,810.63 | — | — | — |
| Longview Regional Medical Center | Longview | TX | 0 | $13,452 | $2,421.28 | — | — | — |
| Yoakum County Hospital | Denver City | TX | 0 | $1,941.22 | $1,941.22 | — | — | — |
| Navarro Regional Hospital | Corsicana | TX | 0 | $14,569 | $3,496.61 | — | — | — |
| Laredo Specialty Hospital | Laredo | TX | 0 | $2,834.00 | — | — | — | — |
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.