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Upper GI endoscopy diagnostic

CPT 43235 · negotiated-rate distribution across hospitals in WV

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Hospitals
16
Min
$1,141.32
Median
$1,141.32
Max
$1,141.32
Range multiplier
1.0×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield19$435.44$870.88$1,136.962.6×
UnitedHealthcare16$1,155.45$1,177.46$1,677.171.5×
harvard pilgrim [10701]16$745.36$745.36$745.361.0×
Aetna15$1,141.32$1,155.45$1,975.001.7×
Cigna15$701.92$1,100.43$1,403.832.0×
tufts mcr [10112]14$570.66$1,148.39$1,155.452.0×
fallon connectorcare [10503]14$377.00$608.16$1,420.623.8×
commonwealth care alliance [10103]13$1,141.32$1,155.45$1,155.451.0×
mgb mcr [10124]13$1,086.97$1,100.43$1,100.431.0×
tufts connectorcare [10507]13$1,848.94$1,871.83$1,871.831.0×
fallon mcr [10105]13$1,141.32$1,155.45$1,155.451.0×
fallon mcr supp [20202]13$1,141.32$1,155.45$1,155.451.0×
institution [10406]13$1,086.97$1,100.43$1,100.431.0×
CHAMPVA12$1,113.41$1,113.41$1,113.411.0×
tufts us family [11203]12$1,100.43$1,100.43$1,100.431.0×
tufts [11201]12$701.92$1,052.88$1,403.832.0×
senior whole health [10110]12$1,177.46$1,177.46$1,177.461.0×
hsno/free care [10801]12$680.81$680.81$680.811.0×
Medicaid12$111.82$569.41$1,027.009.2×
wellpoint [11112]12$1,508.22$1,508.22$1,508.221.0×
workers compensation [20501]11$963.41$963.41$963.411.0×
connecticare [11105]11$1,975.00$1,975.00$1,975.001.0×
evernorth behavioral health [27]11$1,580.00$1,580.00$1,580.001.0×
fallon carelon hlth [28]11$1,975.00$1,975.00$1,975.001.0×
fallon mcaid carelon hlth [29]11$1,975.00$1,975.00$1,975.001.0×
First Health11$1,481.25$1,481.25$1,481.251.0×
grants [20507]11$1,975.00$1,975.00$1,975.001.0×
hne [11108]11$1,285.33$1,285.33$1,285.331.0×
hp optum bh [32]11$1,975.00$1,975.00$1,975.001.0×
masshealth mcd mbhp [38]11$1,975.00$1,975.00$1,975.001.0×
wellsense mcaid carelon hlth [21]11$1,975.00$1,975.00$1,975.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV31$7,342.66$7,342.66$111.82$1,141.32$1,975.00
City Hospital Inc.MartinsburgWV0$19,031$9,515.25
Reynolds Memorial HospitalGlen DaleWV0$1,244.00$622.00
Jackson General HospitalRipleyWV0$4,004.00$2,002.00
Princeton Community HospitalPrincetonWV0$2,694.00$1,347.00
Wheeling HospitalWheelingWV0$5,308.00$2,654.00
Camden-Clark Memorial HospitalParkersburgWV0$2,578.00$1,289.00
Wetzel County HospitalNew MartinsvilleWV0$7,001.34$3,500.67
Summersville Regional Med CenterSummersvilleWV0$1,769.00$884.50
Braxton County Memorial HospitalGassawayWV0$265.00$132.50
Potomac Valley HospitalKeyserWV0$933.00$466.50
Grant Memorial HospitalPetersburgWV0$1,008.00$806.40
Jackson General HospitalRipleyWV0$4,004.00$2,002.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$1,585.33$792.67
West Virginia University HospitalsMorgantownWV0$31,911$15,956
Summersville Regional Med CenterSummersvilleWV0$1,769.00$884.50

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.