▸ Procedure · preventive · CPT 43235
Upper GI endoscopy diagnostic
What US hospitals charge for upper gi endoscopy diagnostic — negotiated rates by payer + state-by-state pricing.
Hospitals
1,172
Rate rows
47,523
Neg. median
$915.86
Neg. min
$1
Neg. max
$252,199
Cash median
$1,164.15
Across 1,172 US hospitals publishing MRFs, the negotiated rate for Upper GI endoscopy diagnostic ranges from $1 to $252,199, with a median of $915.86. Half of all rates fall between $277.04 and $1,682. Cash-pay patients typically pay $1,164.15; hospital list (gross) prices median $2,189.1.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 763 | 3572 | $927.23 |
| Aetna | 681 | 2742 | $955.37 |
| Blue Cross Blue Shield | 645 | 4501 | $838.81 |
| Humana | 596 | 1232 | $881.78 |
| Cigna | 569 | 1736 | $1,405.72 |
| Multiplan | 264 | 647 | $1,735.26 |
| Medicare | 251 | 1325 | $460.37 |
| First Health | 246 | 596 | $1,674.02 |
| WellCare | 230 | 379 | $390.39 |
| Molina | 223 | 495 | $869.16 |
| Medicaid | 182 | 1467 | $246.86 |
| Ambetter | 178 | 235 | $1,552.82 |
| Anthem BCBS | 143 | 632 | $1,279.8 |
| amerihealth caritas | 107 | 161 | $195.48 |
| TRICARE | 81 | 181 | $872.67 |
| upmc health plan | 80 | 268 | $911.55 |
| Medicare Advantage | 73 | 311 | $610.22 |
| geisinger | 70 | 184 | $197.64 |
| CareSource | 67 | 75 | $832.47 |
| healthsmart | 66 | 118 | $2,175.24 |
| amerihealth | 66 | 216 | $181.57 |
| Oscar Health | 64 | 78 | $1,466 |
| upmc work partners | 61 | 61 | $635.45 |
| medcost | 60 | 118 | $315.93 |
| pa health & wellness | 59 | 124 | $927.23 |
| medica | 53 | 599 | $829 |
| prime health services | 53 | 61 | $1,351.18 |
| amerigroup | 51 | 81 | $824.64 |
| wellpoint | 50 | 89 | $1,024.64 |
| Kaiser Permanente | 48 | 77 | $1,085.19 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 2 | — |
| AL | 27 | $1,280.3 |
| AR | 2 | $457.6 |
| AZ | 10 | $938.64 |
| CA | 39 | $1,160.81 |
| CO | 3 | $1,073.69 |
| DE | 2 | $2,851.04 |
| FL | 5 | $964.63 |
| GA | 8 | $941.1 |
| HI | 7 | $924.52 |
| IA | 24 | $824.64 |
| IL | 40 | $971.94 |
| IN | 19 | $355.63 |
| KS | 14 | $941.1 |
| KY | 6 | $159.52 |
| LA | 7 | $867.07 |
| MA | 9 | $1,141.32 |
| ME | 2 | $1,863.71 |
| MI | 28 | $914.38 |
| MN | 20 | $986.24 |
| MO | 13 | $908.45 |
| MS | 11 | $744.96 |
| NC | 26 | $113.42 |
| ND | 5 | $738.15 |
| NE | 3 | $913.71 |
| NJ | 12 | $1,046.79 |
| NM | 5 | $2,032.5 |
| NV | 7 | $1,255.82 |
| NY | 11 | $650.16 |
| OH | 28 | $1,682 |
| OK | 11 | $1,604.76 |
| PA | 55 | $1,172.64 |
| PR | 4 | $124.5 |
| SC | 14 | $274.29 |
| SD | 2 | $2,623.31 |
| TN | 15 | $897.9 |
| TX | 76 | $1,040.42 |
| VA | 9 | $1,827.65 |
| VT | 6 | $899.36 |
| WA | 2 | $1,053.23 |
| WI | 34 | $2,450 |
| WV | 16 | $1,141.32 |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.