▸ Compare · PriceTransparency
Upper GI endoscopy diagnostic
CPT 43235 · negotiated-rate distribution across hospitals in WI
Hospitals
35
Min
$893.68
Median
$1,238.64
Max
$6,159.00
Range multiplier
6.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 23 | 73 | $110.43 | $2,976.00 | $8,190.00 | 74.2× |
| Anthem BCBS | 20 | 61 | $110.43 | $1,979.00 | $6,159.00 | 55.8× |
| wisconsin physician service | 12 | 36 | $2,883.00 | $3,035.00 | $3,035.00 | 1.1× |
| common ground | 12 | 36 | $2,450.00 | $2,727.00 | $2,727.00 | 1.1× |
| Medicare | 14 | 32 | $133.19 | $910.39 | $1,401.00 | 10.5× |
| Molina | 18 | 23 | $891.71 | $2,568.00 | $2,568.00 | 2.9× |
| VA Health | 11 | 22 | $901.33 | $910.39 | $952.75 | 1.1× |
| Cigna | 13 | 16 | $170.52 | $3,500.00 | $3,500.00 | 20.5× |
| smart health | 7 | 14 | $1,274.55 | $1,274.55 | $1,333.85 | 1.0× |
| aspirus | 1 | 13 | $110.43 | $533.05 | $2,656.09 | 24.1× |
| Humana | 6 | 13 | $115.95 | $1,112.21 | $1,112.21 | 9.6× |
| trilogy | 12 | 12 | $4,387.00 | $4,387.00 | $4,387.00 | 1.0× |
| Aetna | 12 | 12 | $1,894.00 | $1,894.00 | $1,894.00 | 1.0× |
| aurora caregiver | 12 | 12 | $2,450.00 | $2,450.00 | $2,450.00 | 1.0× |
| Blue Cross Blue Shield | 4 | 12 | $135.14 | $1,135.20 | $3,937.00 | 29.1× |
| centivo | 12 | 12 | $3,169.00 | $3,169.00 | $3,169.00 | 1.0× |
| hs technology | 12 | 12 | $3,152.00 | $3,152.00 | $3,152.00 | 1.0× |
| everpointe elite | 12 | 12 | $2,153.00 | $2,153.00 | $2,153.00 | 1.0× |
| quartz one | 12 | 12 | $2,790.00 | $2,790.00 | $2,790.00 | 1.0× |
| quartz group | 12 | 12 | $3,260.00 | $3,260.00 | $3,260.00 | 1.0× |
| health payment systems | 12 | 12 | $3,350.00 | $3,350.00 | $3,350.00 | 1.0× |
| wps | 7 | 7 | $1,127.06 | $1,127.06 | $1,127.06 | 1.0× |
| network health plan | 5 | 7 | $193.51 | $891.71 | $4,326.41 | 22.4× |
| prevea 360 | 1 | 7 | $110.43 | $905.61 | $3,762.80 | 34.1× |
| Medicaid | 2 | 6 | $143.36 | $1,096.95 | $2,395.60 | 16.7× |
| security health plan | 2 | 6 | $182.70 | $674.31 | $1,372.31 | 7.5× |
| mercy care | 1 | 5 | $213.15 | $533.05 | $1,469.70 | 6.9× |
| medica [900156] | 3 | 5 | $907.29 | $1,032.61 | $3,340.71 | 3.7× |
| First Health | 3 | 5 | $914.40 | $1,038.94 | $3,366.90 | 3.7× |
| smarthealth | 2 | 4 | $1,261.86 | $1,261.86 | $1,261.86 | 1.0× |
| WellCare | 2 | 4 | $946.40 | $946.40 | $946.40 | 1.0× |
| ma wisconsin replacement [950271] | 2 | 3 | $1,257.00 | $1,267.00 | $3,090.00 | 2.5× |
| alliance | 3 | 3 | $1,093.82 | $1,093.82 | $1,093.82 | 1.0× |
| healthpartners [900713] | 3 | 3 | $1,730.78 | $2,326.73 | $2,673.81 | 1.5× |
| illinicare | 1 | 2 | $110.43 | $508.02 | $905.61 | 8.2× |
| medical associates health plan | 1 | 2 | $366.63 | $980.15 | $1,593.66 | 4.3× |
| health partners open network | 1 | 2 | $253.88 | $934.84 | $1,615.79 | 6.4× |
| meridiancare | 1 | 2 | $115.95 | $510.78 | $905.61 | 7.8× |
| quartz | 2 | 2 | $893.68 | $1,137.43 | $1,381.17 | 1.5× |
| centivo nw3 | 2 | 2 | $1,017.26 | $1,017.26 | $1,017.26 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $893.68 | $2,809.84 | $4,726.00 | 5.3× |
| centivo nw1 | 2 | 2 | $1,017.26 | $1,017.26 | $1,017.26 | 1.0× |
| cchp | 2 | 2 | $673.55 | $673.55 | $673.55 | 1.0× |
| icare | 2 | 2 | $891.71 | $923.98 | $956.24 | 1.1× |
| veteran's administration (va ccn) | 1 | 1 | $893.68 | $893.68 | $893.68 | 1.0× |
| health partners | 1 | 1 | $891.71 | $891.71 | $891.71 | 1.0× |
| group health cooperative of eau claire | 1 | 1 | $947.30 | $947.30 | $947.30 | 1.0× |
| security health plan (shp) | 1 | 1 | $893.68 | $893.68 | $893.68 | 1.0× |
| community care incorporated | 1 | 1 | $891.71 | $891.71 | $891.71 | 1.0× |
| allwell | 1 | 1 | $909.55 | $909.55 | $909.55 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Wheaton Franciscan Healthcare - All | Racine | WI | 4 | — | — | $952.75 | $952.75 | $1,333.85 |
| All Saints - St. Luke S Hospital | Racine | WI | 4 | — | — | $952.75 | $952.75 | $1,333.85 |
| Mosh | Franklin | WI | 4 | — | — | $910.39 | $910.39 | $1,274.55 |
| Wheaton Franciscan - Franklin | Franklin | WI | 4 | — | — | $910.39 | $910.39 | $1,274.55 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 4 | — | — | $910.39 | $910.39 | $1,274.55 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 4 | — | — | $910.39 | $910.39 | $1,274.55 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 4 | — | — | $910.39 | $910.39 | $1,274.55 |
| Meriter Hospital Inc. | Madison | WI | 14 | $4,426.82 | $3,541.46 | $110.43 | $905.61 | $5,169.00 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 9 | $2,787.00 | $1,588.59 | $126.80 | $901.33 | $1,892.79 |
| Mercy Medical Center | Oshkosh | WI | 9 | $2,787.00 | $1,588.59 | $126.80 | $901.33 | $1,892.79 |
| Holy Family Memorial Inc | Manitowoc | WI | 10 | — | — | $891.71 | $900.63 | $6,312.00 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 11 | — | — | $893.68 | $893.68 | $5,571.00 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 2 | — | — | $5,749.00 | $6,159.00 | $8,190.00 |
| Ssh - Fox Valley | Oshkosh | WI | 2 | — | — | $5,749.00 | $6,159.00 | $8,190.00 |
| Childrens Wisconsin | Milwaukee | WI | 2 | — | — | $5,749.00 | $6,159.00 | $8,190.00 |
| Aurora Medical Center - Bay Area | Marinette | WI | 15 | — | — | $1,894.00 | $2,965.50 | $5,100.00 |
| Memorial Hospital Of Burlington | Burlington | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| West Allis Memorial Hospital | West Allis | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Medical Center Kenosha | Kenosha | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Medical Center - Hartford | Hartford | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Medical Center - Summit | Summit | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Medical Center Grafton | Grafton | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 15 | — | — | $1,894.00 | $2,955.00 | $4,387.00 |
| Hudson Hospital | Hudson | WI | 8 | $3,090.00 | $1,393.90 | $1,013.52 | $1,433.95 | $3,912.00 |
| Amery Regional Medical Center | Amery | WI | 6 | $3,741.00 | $1,950.56 | $133.19 | $1,238.64 | $3,627.27 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 4 | $4,122.00 | $2,184.66 | $193.51 | $1,112.21 | $1,112.21 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 7 | $4,122.00 | $2,184.66 | $193.51 | $1,103.02 | $2,007.94 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 7 | — | — | $193.51 | $1,103.02 | $2,007.94 |
| Westfields Hospital | New Richmond | WI | 8 | $1,267.00 | $666.44 | $133.19 | $1,024.46 | $2,395.60 |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $3,255.00 | $1,953.00 | — | — | — |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $3,255.00 | $1,953.00 | — | — | — |
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.