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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in VT

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Hospitals
6
Min
$485.19
Median
$778.5
Max
$1,007.56
Range multiplier
2.1×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield533$115.83$1,058.83$3,952.6834.1×
UnitedHealthcare525$184.59$667.24$4,136.4522.4×
mvp318$96.53$703.25$3,051.8631.6×
capital district physicians' health plan316$263.7$1,149.24$3,147.311.9×
Cigna511$113.56$926.34$4,096.9536.1×
wellpath310$158.98$1,500.66$2,311.114.5×
First Health49$113.56$2,534.4$3,571.731.5×
Humana49$107.88$891.85$1,344.2712.5×
Anthem BCBS28$113.56$432.92$1,259.1111.1×
Aetna58$113.56$713.91$1,353.611.9×
harvard pilgrim38$135.16$2,473.15$3,361.624.9×
martins point37$270.63$929.01$2,113.847.8×
VA Health36$113.56$521.29$1,353.611.9×
fidelis care26$102.2$130.59$1,218.2411.9×
wellsense14$100.04$423.12$962.329.6×
Multiplan23$444.6$1,259.11$2,7366.2×
nppn13$1,079.1$3,781.8$3,781.83.5×
magnacare13$959.2$3,361.6$3,361.63.5×
tufts health plan13$277.89$277.89$277.891.0×
ebpa13$923.23$3,613.72$3,613.723.9×
mvp healthcare13$113.56$899.36$1,259.1111.1×
martin's point12$113.56$506.46$899.367.9×
medical corporation12$444.6$1,590.3$2,7366.2×
new hampshire healthy families12$100.04$412.39$724.737.2×
st. regis12$113.56$529.22$944.878.3×
harvard pilgrim health care12$113.56$506.46$899.367.9×
veterans choice12$113.56$733.58$1,353.611.9×
WellCare12$119.24$531.79$944.337.9×
amerihealth-caritas12$100.04$412.39$724.737.2×
the vermont health plan11$613$613$6131.0×
hphc insurance company, inc.11$787$787$7871.0×
mvp health plan, inc.11$770$770$7701.0×
vermont health plan11$445.46$445.46$445.461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CENTRAL VERMONT HOSPITALBARREVT12$3,302.88$3,302.88$111.29$929.01$3,283.06
MT ASCUTNEY HOSPITAL AND HEALTH CENTWINDSORVT8$846$677$613$778.5$804
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT17$643.1$450.17$100.04$539.09$1,259.11
PORTER HOSPITALMIDDLEBURYVT16$2,880$2,880$96.53$485.19$2,851.2
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT17$4,202$4,202$96.53$1,007.56$4,136.45
COPLEY HOSPITAL INC.MORRISVILLEVT0$540$432

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.