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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$12.84 – $5,792.00

Negotiated median

$941.10

CPT 43235 Upper GI endoscopy diagnostic · Showing 200 of 268 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Southern Regional Medical Center	GA	Chargemaster	N/A	outpatient	gross	$4,131.95
West Central Ga Regional Hospital	GA	Chargemaster	N/A	inpatient	gross	$2,650.00
West Central Ga Regional Hospital	GA	Chargemaster	N/A	outpatient	gross	$2,650.00
West Central Ga Regional Hospital	GA	Chargemaster	N/A	outpatient	gross	$252.00
West Central Ga Regional Hospital	GA	Cash pay	N/A	inpatient	cash	$1,966.30
West Central Ga Regional Hospital	GA	Cash pay	N/A	outpatient	cash	$1,966.30
Houston Medical Center	GA	Cash pay	N/A	—	cash	$1,672.30
Perry Hospital	GA	Cash pay	N/A	—	cash	$1,672.30
Southern Regional Medical Center	GA	Cash pay	N/A	outpatient	cash	$905.00
West Central Ga Regional Hospital	GA	Cash pay	N/A	outpatient	cash	$186.99
West Central Ga Regional Hospital	GA	[De-identified Min]	—	inpatient	min	$2,252.50
St. Marys Sacred Heart Hospital	GA	[De-identified Min]	—	outpatient	min	$941.10
St. Marys Sacred Heart Hospital	GA	[De-identified Min]	—	inpatient	min	$941.10
Houston Medical Center	GA	[de-identified min]	—	—	min	$743.25
Perry Hospital	GA	[de-identified min]	—	—	min	$579.22
Southern Regional Medical Center	GA	[De-identified Min]	—	outpatient	min	$530.54
West Central Ga Regional Hospital	GA	[De-identified Min]	—	outpatient	min	$127.31
St. Marys Sacred Heart Hospital	GA	Aetna	2494_AETNA PSH 20250701	outpatient	negotiated	$5,792.00
Houston Medical Center	GA	phcs op rate	—	—	negotiated	$3,496.00
Perry Hospital	GA	phcs op rate	—	—	negotiated	$3,496.00
Houston Medical Center	GA	beech street op rate	—	—	negotiated	$3,420.00
Perry Hospital	GA	beech street op rate	—	—	negotiated	$3,420.00
Perry Hospital	GA	First Health	—	—	negotiated	$3,420.00
Houston Medical Center	GA	Blue Cross Blue Shield	—	—	negotiated	$3,206.44
Perry Hospital	GA	First Health	—	—	negotiated	$2,898.00
Perry Hospital	GA	Cigna	—	—	negotiated	$2,846.20
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	inpatient	negotiated	$2,570.50
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	outpatient	negotiated	$2,570.50
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	inpatient	negotiated	$2,517.50
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	outpatient	negotiated	$2,517.50
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	inpatient	negotiated	$2,385.00
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	inpatient	negotiated	$2,385.00
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	outpatient	negotiated	$2,385.00
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	outpatient	negotiated	$2,385.00
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	inpatient	negotiated	$2,313.45
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	outpatient	negotiated	$2,313.45
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|All Other Plans	outpatient	negotiated	$2,305.50
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|Choice	outpatient	negotiated	$2,305.50
Southern Regional Medical Center	GA	Aetna	Aetna HMO	outpatient	negotiated	$2,297.20
Southern Regional Medical Center	GA	Aetna	Aetna PPO	outpatient	negotiated	$2,297.20
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Commercial\|All Plans	outpatient	negotiated	$2,255.15
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	inpatient	negotiated	$2,252.50
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	outpatient	negotiated	$2,252.50
Houston Medical Center	GA	Blue Cross Blue Shield	—	—	negotiated	$2,130.00
St. Marys Sacred Heart Hospital	GA	occunet	2603_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001	inpatient	negotiated	$2,117.47
Houston Medical Center	GA	alliant op rate	—	—	negotiated	$1,900.00
Houston Medical Center	GA	secure health op rate	—	—	negotiated	$1,900.00
Perry Hospital	GA	alliant op rate	—	—	negotiated	$1,900.00
Perry Hospital	GA	secure health op rate	—	—	negotiated	$1,900.00
Southern Regional Medical Center	GA	Cigna	Cigna Commercial	outpatient	negotiated	$1,887.67
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO Adhoc	outpatient	negotiated	$1,816.56
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway Adhoc	outpatient	negotiated	$1,816.56
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO	outpatient	negotiated	$1,816.56
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway	outpatient	negotiated	$1,816.56
Houston Medical Center	GA	First Health	—	—	negotiated	$1,793.60
St. Marys Sacred Heart Hospital	GA	occunet	2114_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20221201	outpatient	negotiated	$1,741.04
Southern Regional Medical Center	GA	CareSource	Caresource Exchange	outpatient	negotiated	$1,584.21
St. Marys Sacred Heart Hospital	GA	Ambetter	2426_SUNSHINE HEALTH AMBETTER COMMERCIAL OUTPATIENT PSH 20250101	outpatient	negotiated	$1,552.82
St. Marys Sacred Heart Hospital	GA	Ambetter	2611_SUNSHINE HEALTH AMBETTER COMMERCIAL INPATIENT PSH 20251001	inpatient	negotiated	$1,552.82
St. Marys Sacred Heart Hospital	GA	Oscar Health	2456_OSCAR HEALTH PLAN OUTPATIENT 20250401	outpatient	negotiated	$1,505.76
St. Marys Sacred Heart Hospital	GA	Oscar Health	2609_OSCAR HEALTH PLAN INPATIENT 20251001	inpatient	negotiated	$1,505.76
Southern Regional Medical Center	GA	naphcare	Naphcare Prison	outpatient	negotiated	$1,403.15
Southern Regional Medical Center	GA	centurion	Centurion	outpatient	negotiated	$1,357.89
St. Marys Sacred Heart Hospital	GA	smarthealth	2442_SMARTHEALTH OUTPATIENT 20250101	outpatient	negotiated	$1,317.54
St. Marys Sacred Heart Hospital	GA	smarthealth	2610_SMARTHEALTH INPATIENT 20251001	inpatient	negotiated	$1,317.54
Southern Regional Medical Center	GA	employer direct healthcare	Employer Direct Healthcare Commercial	outpatient	negotiated	$1,267.36
Houston Medical Center	GA	Humana	—	—	negotiated	$1,265.00
Perry Hospital	GA	Humana	—	—	negotiated	$1,265.00
Southern Regional Medical Center	GA	Oscar Health	Oscar Health Plan Commercial Exchange	outpatient	negotiated	$1,176.84
Houston Medical Center	GA	UnitedHealthcare	—	—	negotiated	$1,159.00
Perry Hospital	GA	UnitedHealthcare	—	—	negotiated	$1,159.00
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Commercial	outpatient	negotiated	$1,131.58
Southern Regional Medical Center	GA	peach state	Peach State Ambetter Comm	outpatient	negotiated	$1,086.31
West Central Ga Regional Hospital	GA	devoted health	Medicare\|All Plans	outpatient	negotiated	$1,059.23
West Central Ga Regional Hospital	GA	imperial insurance	Medicare\|All Plans	outpatient	negotiated	$1,049.24
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$1,049.24
Houston Medical Center	GA	Ambetter	—	—	negotiated	$1,040.54
Perry Hospital	GA	Ambetter	—	—	negotiated	$1,040.54
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Medicare\|All Plans	outpatient	negotiated	$1,029.25
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicare\|All Plans	outpatient	negotiated	$1,024.26
West Central Ga Regional Hospital	GA	Aetna	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	arizona medical network	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	banner health	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	bridgeway health solutions	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	Cigna	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	First Health	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	health choice pathway	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	health management network	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	Health Net	Medicare\|Allwell	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	Humana	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	rural arizona network	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	united mine workers of america	Medicare\|All Plans	outpatient	negotiated	$999.27
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$999.27
St. Marys Sacred Heart Hospital	GA	Aetna	2429_AETNA MEDICARE ADVANTAGE OUTPATIENT PSH 20250101	outpatient	negotiated	$969.33
St. Marys Sacred Heart Hospital	GA	Aetna	2593_AETNA MEDICARE ADVANTAGE INPATIENT PSH 20251001	inpatient	negotiated	$969.33
St. Marys Sacred Heart Hospital	GA	Humana	2437_MEDICARE ADVANTAGE HUMANA GOLD OUTPATIENT PSH 20250101	outpatient	negotiated	$969.33
St. Marys Sacred Heart Hospital	GA	Humana	2601_MEDICARE ADVANTAGE HUMANA GOLD INPATIENT PSH 20251001	inpatient	negotiated	$969.33
St. Marys Sacred Heart Hospital	GA	healthspring mcr replacement	2599_MEDICARE ADVANTAGE CIGNA HEALTHSPRING INPATIENT PSH 20251001	inpatient	negotiated	$959.92
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Duals	outpatient	negotiated	$950.52
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Medicare	outpatient	negotiated	$950.52
Southern Regional Medical Center	GA	WellCare	Wellcare Medicare	outpatient	negotiated	$950.52
St. Marys Sacred Heart Hospital	GA	healthspring mcr replacement	2435_MEDICARE ADVANTAGE CIGNA HEALTHSPRING OUTPATIENT PSH 20250101	outpatient	negotiated	$950.51
St. Marys Sacred Heart Hospital	GA	UnitedHealthcare	2548_UHC MEDICARE ADVANTAGE OUTPATIENT PSH 20250501	outpatient	negotiated	$950.51
St. Marys Sacred Heart Hospital	GA	UnitedHealthcare	2615_UHC MEDICARE ADVANTAGE INPATIENT PSH 20251001	inpatient	negotiated	$950.51
St. Marys Sacred Heart Hospital	GA	blue mcr replacement	2433_MEDICARE ADVANTAGE BLUE OUTPATIENT PSH 20250101	outpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	blue mcr replacement	2597_MEDICARE ADVANTAGE BLUE INPATIENT PSH 20251001	inpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	facility billing - op	1472_FACILITY BILLING OUTPATIENT PSH 20190101	outpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	facility billing - op	2595_FACILITY BILLING INPATIENT PSH 20251001	inpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	Medicare Advantage	2438_MEDICARE ADVANTAGE OUTPATIENT PSH 20250101	outpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	Medicare Advantage	2602_MEDICARE ADVANTAGE INPATIENT PSH 20251001	inpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	WellCare	2493_MEDICARE ADVANTAGE WELLCARE OUTPATIENT PSH 20250101	outpatient	negotiated	$941.10
St. Marys Sacred Heart Hospital	GA	WellCare	2605_MEDICARE ADVANTAGE WELLCARE INPATIENT PSH 20251001	inpatient	negotiated	$941.10
Southern Regional Medical Center	GA	CareSource	Caresource Duals	outpatient	negotiated	$932.42
Southern Regional Medical Center	GA	CareSource	Caresource Medicare	outpatient	negotiated	$932.42
Southern Regional Medical Center	GA	devoted health	Devoted Health	outpatient	negotiated	$932.42
Southern Regional Medical Center	GA	peach state	Peach State Medicare	outpatient	negotiated	$932.42
Houston Medical Center	GA	dodge cty op rate	—	—	negotiated	$912.00
Perry Hospital	GA	dodge cty op rate	—	—	negotiated	$912.00
Southern Regional Medical Center	GA	Aetna	Aetna Medicare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	americas choice provider network	Americas Choice Provider Network Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBSGA Medicare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	Cigna	Cigna Healthspring Medicare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	clear spring health plan	Clear Spring Health Plan	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	corvel	Corvel Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	georgia workers’ compensation	Worker Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	Multiplan	Multiplan Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	novanet	Novanet Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	prime health services	Prime Health Services Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	provider select	Provider Select Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Medicare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	three rivers	Three Rivers Workers Compensation	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	Medicare	Traditional Medicare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	TRICARE	Tricare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Medicare	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	UnitedHealthcare	UHC VA CCN	outpatient	negotiated	$905.26
Southern Regional Medical Center	GA	Humana	Humana Medicare	outpatient	negotiated	$887.15
Southern Regional Medical Center	GA	Humana	Humana Tricare	outpatient	negotiated	$860.00
Houston Medical Center	GA	CareSource	—	—	negotiated	$832.47
Houston Medical Center	GA	peach state hp op rate	—	—	negotiated	$817.51
Houston Medical Center	GA	amerigroup op rate	—	—	negotiated	$807.77
Houston Medical Center	GA	WellCare	—	—	negotiated	$793.57
Houston Medical Center	GA	WellCare	—	—	negotiated	$772.97
Perry Hospital	GA	WellCare	—	—	negotiated	$772.97
Houston Medical Center	GA	CareSource	—	—	negotiated	$758.11
Perry Hospital	GA	CareSource	—	—	negotiated	$758.11
Houston Medical Center	GA	Aetna	—	—	negotiated	$750.68
Perry Hospital	GA	Aetna	—	—	negotiated	$750.68
Houston Medical Center	GA	Humana	—	—	negotiated	$743.25
Perry Hospital	GA	Humana	—	—	negotiated	$743.25
Perry Hospital	GA	CareSource	—	—	negotiated	$659.61
Perry Hospital	GA	peach state health plan op rate	—	—	negotiated	$648.17
Perry Hospital	GA	WellCare	—	—	negotiated	$628.79
Perry Hospital	GA	amerigroup op rate	—	—	negotiated	$579.22
Southern Regional Medical Center	GA	Humana	Humana Commercial	outpatient	negotiated	$566.12
West Central Ga Regional Hospital	GA	devoted health	Medicare\|All Plans	outpatient	negotiated	$267.12
West Central Ga Regional Hospital	GA	imperial insurance	Medicare\|All Plans	outpatient	negotiated	$264.60
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$264.60
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Medicare\|All Plans	outpatient	negotiated	$259.56
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicare\|All Plans	outpatient	negotiated	$258.30
West Central Ga Regional Hospital	GA	Aetna	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	arizona medical network	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	banner health	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	bridgeway health solutions	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	Cigna	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	First Health	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	health choice pathway	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	health management network	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	Health Net	Medicare\|Allwell	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	Humana	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	rural arizona network	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	united mine workers of america	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$252.00
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	outpatient	negotiated	$244.44
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	outpatient	negotiated	$239.40
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	outpatient	negotiated	$226.80
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	outpatient	negotiated	$226.80
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	outpatient	negotiated	$220.00
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|All Other Plans	outpatient	negotiated	$219.24
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|Choice	outpatient	negotiated	$219.24
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Commercial\|All Plans	outpatient	negotiated	$214.46
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	outpatient	negotiated	$214.20
West Central Ga Regional Hospital	GA	health choice	Medicaid\|All Plans	outpatient	negotiated	$133.68
West Central Ga Regional Hospital	GA	mercy care	Medicaid\|All Plans	outpatient	negotiated	$133.68
West Central Ga Regional Hospital	GA	acchs	Medicaid\|All Plans	outpatient	negotiated	$127.31
West Central Ga Regional Hospital	GA	arizona complete health	Medicaid\|All Plans	outpatient	negotiated	$127.31
West Central Ga Regional Hospital	GA	banner health	Medicaid\|All Plans	outpatient	negotiated	$127.31
West Central Ga Regional Hospital	GA	care 1st	Medicaid\|All Plans	outpatient	negotiated	$127.31
West Central Ga Regional Hospital	GA	Health Net	Medicaid\|All Plans	outpatient	negotiated	$127.31
West Central Ga Regional Hospital	GA	Humana	Medicaid\|All Plans	outpatient	negotiated	$127.31
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicaid\|All Plans	outpatient	negotiated	$127.31
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS PPO	outpatient	negotiated	$58.84
Southern Regional Medical Center	GA	peach state	Peach State Medicaid	outpatient	negotiated	$12.84
Southern Regional Medical Center	GA	[De-identified Max]	—	outpatient	max	$4,131.95
Houston Medical Center	GA	[de-identified max]	—	—	max	$3,496.00
Perry Hospital	GA	[de-identified max]	—	—	max	$3,496.00
West Central Ga Regional Hospital	GA	[De-identified Max]	—	inpatient	max	$2,570.50
West Central Ga Regional Hospital	GA	[De-identified Max]	—	outpatient	max	$2,570.50
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	outpatient	max	$2,117.47
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	inpatient	max	$2,117.47
West Central Ga Regional Hospital	GA	[De-identified Max]	—	outpatient	max	$267.12

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).