▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in TX
Hospitals
76
Min
$80
Median
$1,040.42
Max
$3,780
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 | $1,171.02 | $12,531 | 227.8× |
| UnitedHealthcare | 57 | 173 | $33.84 | $1,300.4 | $6,444 | 190.4× |
| Aetna | 56 | 119 | $70 | $881.72 | $5,189 | 74.1× |
| Cigna | 45 | 87 | $80 | $2,975 | $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 | $829.02 | $3,704 | 57.0× |
| Medicaid | 22 | 55 | $214.9 | $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 | 14.8× |
| prime health services | 21 | 25 | $837.38 | $868.81 | $16,290 | 19.5× |
| healthsmart | 19 | 24 | $118 | $3,282 | $3,937.2 | 33.4× |
| american health plan | 22 | 22 | $839.3 | $870.47 | $896.92 | 1.1× |
| procare advantage | 21 | 21 | $839.3 | $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 | $2,266.88 | $4,903 | 17.5× |
| healthspring | 18 | 18 | $839.3 | $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 | $4,487 | $4,487 | 2.1× |
| Molina | 9 | 10 | $351.7 | $867.24 | $1,621.2 | 4.6× |
| wellpoint | 6 | 10 | $365.1 | $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 | $864 | $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 | $1,215.2 | $1,215.93 | 1.5× |
| sedgwick | 6 | 6 | $1,195 | $1,226.02 | $1,277.04 | 1.1× |
| First Health | 4 | 6 | $240 | $2,888.93 | $4,202 | 17.5× |
| scott & white | 5 | 6 | $1,408.56 | $1,408.56 | $3,288.72 | 2.3× |
| healthscope benefits [2290] | 5 | 6 | $357.08 | $721.5 | $1,077.57 | 3.0× |
| commercial | beechstreet | all plans | 6 | 6 | $1,241 | $1,241 | $1,241 | 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 | $1,215.2 | $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 | $942.3 | $942.3 | $942.3 | 1.0× |
| commercial | independent med system | all plans | 5 | 5 | $1,675 | $1,675 | $1,675 | 1.0× |
| commercial | harris health | ers | 5 | 5 | $1,215.2 | $1,215.93 | $1,215.93 | 1.0× |
| 90 degree benefits | 5 | 5 | $864 | $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 | $721.5 | $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 | $721.5 | $1,077.57 | 2.0× |
| mhs care connect | 2 | 4 | $214.9 | $214.9 | $214.9 | 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 |
| BAYLOR UNIVERSITY MEDICAL CTR | DALLAS | TX | 17 | — | — | $334.95 | $974.1 | $4,042 |
| ST. JOSEPH REGIONAL HEALTH CENTER | BRYAN | TX | 10 | $2,500 | $875 | $275.42 | $973.97 | $4,168 |
| COLLEGE STATION MEDICAL CENTER | COLLEGE STATION | TX | 10 | $2,500 | $875 | $275.42 | $973.97 | $4,168 |
| GRIMES ST. JOSEPH HEALTH CENTER | NAVASOTA | TX | 4 | $2,500 | $875 | $275.42 | $973.97 | $4,168 |
| BAYLOR S&W ALL SAINTS MEDICAL CENTER | FORT WORTH | TX | 17 | — | — | $334.95 | $956.41 | $4,042 |
| BAYLOR SCOTT & WHITE MC- LAKE POINTE | ROWLETT | TX | 17 | — | — | $334.95 | $953.37 | $4,042 |
| CENTENNIAL MEDICAL CENTER | FRISCO | TX | 17 | — | — | $334.95 | $953.37 | $4,042 |
| ST LUKES HOSPITAL AT THE VINTAGE | HOUSTON | TX | 19 | — | — | $287.68 | $950.15 | $4,487 |
| TEXAS REHABILITATION HOSPITAL OF KEL | KELLER | TX | 13 | $3,211 | $321.1 | $802.75 | $944.04 | $1,640.82 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 18 | — | — | $287.68 | $942.3 | $4,487 |
| ST. LUKES PATIENTS MEDICAL CENTER | PASADENA | TX | 14 | $2,493 | $872.55 | $273.3 | $895 | $4,487 |
| ST. LUKES SUGAR LAND HOSPITAL | SUGAR LAND | TX | 17 | — | — | $287.68 | $893.34 | $4,487 |
| ST. LUKES THE WOODLANDS HOSPITAL | THE WOODLANDS | TX | 18 | — | — | $287.68 | $893.07 | $4,487 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 18 | — | — | $287.68 | $879.52 | $4,487 |
| NORTH TEXAS MEDICAL CENTER | GAINSVILLE | TX | 17 | $7,004 | $1,751 | $160 | $864 | $6,444 |
| SCOTT & WHITE CEDAR PARK | CEDAR PARK | TX | 1 | — | — | $851.37 | $851.37 | $851.37 |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | LUFKIN | TX | 10 | $3,238.4 | $1,133.44 | $263.85 | $851.06 | $2,914.56 |
| BRAZOSPORT REGIONAL HEALTH SYSTEM | LAKE JACKSON | TX | 10 | — | — | $287.68 | $826.26 | $3,348 |
| BAYLOR COUNTY HOSPITAL DISTRICT | SEYMOUR | TX | 9 | $1,750 | $1,225 | $65 | $80 | $800.48 |
| SETON MEDICAL CENTER HARKER HEIGHTS | HARKER HEIGHTS | TX | 14 | $1,983.8 | $198.38 | $267.42 | $773.68 | $1,717.97 |
| LIMESTONE MEDICAL CENTER | GROESBECK | TX | 7 | $2,104.2 | $1,262.52 | $315.16 | $743.49 | $1,683.36 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 11 | $3,238.4 | $1,133.44 | $263.85 | $738.03 | $2,914.56 |
| CLAY COUNTY MEMORIAL HOSPITAL | HENRIETTA | TX | 5 | $3,859 | $2,701 | $118 | $717 | $1,235 |
| UT HEALTH EAST TEXAS SPECIALTY HOSPI | TYLER | TX | 10 | $2,561 | $256.1 | $640.25 | $640.25 | $1,608.31 |
| LIFECARE SPEC HOSP OF NORTH TEXAS | DALLAS | TX | 11 | $2,143 | $214.3 | $488.8 | $535.75 | $2,004.07 |
| DIMMIT REGIONAL HOSPITAL DISTRICT | CARRIZO SPRINGS | TX | 3 | $1,059 | $635 | $175 | $443 | $1,017 |
| TRINITY REGIONAL HOSPITAL SACHSE | SACHSE | TX | 8 | $859 | $687.2 | $109.69 | $385.3 | $2,460.37 |
| BAYLOR ORTHOPEDIC AND SPINE HOSPITAL | ARLINGTON | TX | 3 | — | — | $55 | $3,780 | $8,427 |
| CHILDRENS MEDICAL CENTER OF PLANO | PLANO | TX | 31 | $4,632 | $3,474 | $236.71 | $3,242.4 | $4,493.04 |
| CORPUS CHRISTI SPECIALTY HOSPITAL | CORPUS CHRISTI | TX | 8 | $4,122.3 | $4,122.3 | $2,885.61 | $3,091.73 | $3,710.07 |
| EASTLAND MEMORIAL HOSPITAL | EASTLAND | TX | 3 | $3,800 | $1,900 | $2,356 | $2,717 | $3,420 |
| CRESCENT MEDICAL CENTER LANCASTER | LANCASTER | TX | 12 | $25,061 | $16,290 | $743 | $2,416 | $117,621 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 2 | $5,170 | $3,102 | $825.87 | $2,370 | $3,538 |
| BAYLOR SCOTT AND WHITE MC AT SUNNYVA | SUNNYVALE | TX | 2 | $4,538 | $2,722.8 | $825.87 | $2,370 | $3,538 |
| WILSON N JONES REGIONAL MEDICAL CTR | SHERMAN | TX | 8 | $878.06 | $702.45 | $109.69 | $234.2 | $385.3 |
| GOLDEN PLAINS COMMUNITY HOSPITAL | BORGER | TX | 6 | $470 | $329 | $86.48 | $220.9 | $319.6 |
| ASCENSION SETON BASTROP | BASTROP | TX | 18 | — | — | $33.84 | $214.9 | $460.37 |
| ASCENSION SETON SHOAL CREEK | AUSTIN | TX | 18 | — | — | $33.84 | $214.9 | $460.37 |
| GLEN ROSE MEDICAL CENTER | GLEN ROSE | TX | 8 | $2,859 | $2,859 | $1,315 | $2,001 | $2,716 |
| BAPTIST SAINT ANTHONYS HOSPITAL | AMARILLO | TX | 80 | $2,763 | $276.3 | $822.79 | $1,934.1 | $2,348.55 |
| FALLS COMMUNITY HOSPITAL AND CLINIC | MARLIN | TX | 6 | $2,682 | $2,145.6 | $825.51 | $1,877.4 | $3,536.64 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | 11 | $2,273.4 | $2,273.4 | $117.5 | $1,705.05 | $2,046.06 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 14 | — | — | $351.7 | $1,434.97 | $2,239.87 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 14 | — | — | $351.7 | $1,434.97 | $2,239.87 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 14 | — | — | $351.7 | $1,434.97 | $2,239.87 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 14 | — | — | $351.7 | $1,434.97 | $2,239.87 |
| SCOTT & WHITE HOSPITAL BRENHAM | BRENHAM | TX | 5 | — | — | $1,163.16 | $1,414.66 | $3,500 |
| CRANE COUNTY HOSPITAL DISTRICT | CRANE | TX | 2 | $2,084 | $1,459 | $1,271 | $1,290 | $1,876 |
| HILLCREST BAPTIST MEDICAL CENTER | WACO | TX | 15 | — | — | $334.95 | $1,163.16 | $3,704 |
| SCOTT AND WHITE HOSPITAL TAYLOR | TAYLOR | TX | 11 | — | — | $334.95 | $1,163.16 | $4,419 |
| MID COAST MEDICAL CENTER-CENTRAL | LLANO | TX | 11 | — | — | $334.95 | $1,163.16 | $4,419 |
| SCOTT AND WHITE MEMORIAL HOSPITAL | TEMPLE | TX | 16 | — | — | $334.95 | $1,163.16 | $4,419 |
| COLLEGE STATION HOSPITAL | COLLEGE STATION | TX | 15 | — | — | $811.5 | $1,163.16 | $3,704 |
| BAYLOR SCOTT & WHITE PFLUGERVILLE | PFLUGERVILLE | TX | 15 | — | — | $334.95 | $1,163.16 | $4,419 |
| BSW MEDICAL CENTER - AUSTIN | AUSTIN | TX | 11 | — | — | $334.95 | $1,163.16 | $4,419 |
| BAYLOR HEART AND VASCULAR HOSPITAL | DALLAS | TX | 10 | — | — | $787.57 | $1,148.95 | $5,189 |
| MADISON ST. JOSEPH HEALTH CENTER | MADISONVILLE | TX | 7 | $2,500 | $875 | $275.42 | $1,130.11 | $4,168 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 9 | $3,238.4 | $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 |
| BAYLOR SCOTT & WHITE - BUDA | BUDA | TX | 11 | — | — | $334.95 | $1,090.38 | $4,419 |
| BAYLOR SCOTT & WHITE - MARBLE FALLS | MARBLE FALLS | TX | 15 | — | — | $334.95 | $1,083.16 | $3,704 |
| BURLESON ST. JOSEPH HEALTH CENTER | CALDWELL | TX | 7 | $2,500 | $875 | $275.42 | $1,070.63 | $2,250 |
| PAM SQUARED AT CORPUS CHRISTI | CORPUS CHRSTI | TX | 26 | $4,122.3 | $4,122.3 | $112.76 | $1,063.55 | $3,503.96 |
| BAYLOR SCOTT & WHITE WMC - BRENHAM | BRENHAM | TX | 15 | — | — | $334.95 | $1,040.42 | $5,189 |
| BAYLOR S&W MEDICAL CENTER - PLANO | PLANO | TX | 15 | — | — | $334.95 | $1,040.42 | $4,042 |
| BAYLOR S&W MEDICAL CENTER - MCKINNEY | MCKINNEY | TX | 15 | — | — | $334.95 | $1,040.42 | $4,042 |
| THE HEART HOSPITAL BAYLOR PLANO | PLANO | TX | 15 | — | — | $334.95 | $1,040.42 | $5,189 |
| BAYLOR MEDICAL CENTER-GRAPEVINE | GRAPEVINE | TX | 15 | — | — | $334.95 | $1,020.86 | $4,042 |
| TRUSTPOINT REHABILITATION HOSPITAL O | LUBBOCK | TX | 0 | $2,834 | — | — | — | — |
| NOCONA GENERAL HOSPITAL | NOCONA | TX | 0 | $2,475 | $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 | — | — | — | — |
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.