Search hospital rates

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

Hospitals

Payers

Negotiated range

$91.62 – $1,471.54

Negotiated median

$159.52

CPT 43235 Upper GI endoscopy diagnostic · Showing 91 of 91 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
SPRING VIEW HOSPITAL	KY	Chargemaster	N/A	outpatient	gross	$8,329.53
CCH AT BAPTIST HEALTH CORBIN	KY	Chargemaster	N/A	outpatient	gross	$1,900
WHITESBURG ARH	KY	Chargemaster	N/A	both	gross	$1,039
TUG VALLEY ARH	KY	Chargemaster	N/A	both	gross	$1,039
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Chargemaster	N/A	both	gross	$1,039
JENNIE STUART MEDICAL CENTER	KY	Chargemaster	N/A	both	gross	$514
SPRING VIEW HOSPITAL	KY	Cash pay	N/A	outpatient	cash	$3,331.81
CCH AT BAPTIST HEALTH CORBIN	KY	Cash pay	N/A	outpatient	cash	$1,900
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Cash pay	N/A	both	cash	$623.4
WHITESBURG ARH	KY	Cash pay	N/A	both	cash	$623.4
TUG VALLEY ARH	KY	Cash pay	N/A	both	cash	$623.4
JENNIE STUART MEDICAL CENTER	KY	Cash pay	N/A	both	cash	$159.34
CCH AT BAPTIST HEALTH CORBIN	KY	[De-identified Min]	—	outpatient	min	$1,425
SPRING VIEW HOSPITAL	KY	[De-identified Min]	—	outpatient	min	$865.61
JENNIE STUART MEDICAL CENTER	KY	[De-identified Min]	—	outpatient	min	$796.36
JENNIE STUART MEDICAL CENTER	KY	[De-identified Min]	—	both	min	$112.17
WHITESBURG ARH	KY	[De-identified Min]	—	both	min	$106.59
HIGHLANDS REGIONAL MEDICAL CENTER	KY	[De-identified Min]	—	both	min	$106.59
TUG VALLEY ARH	KY	[De-identified Min]	—	both	min	$91.62
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	outpatient	negotiated	$1,471.54
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$1,428.26
CCH AT BAPTIST HEALTH CORBIN	KY	Anthem BCBS	Healthlink	outpatient	negotiated	$1,425
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	outpatient	negotiated	$1,298.42
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	outpatient	negotiated	$1,168.58
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	outpatient	negotiated	$908.89
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	outpatient	negotiated	$865.61
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	outpatient	negotiated	$796.36
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	both	negotiated	$489.59
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	both	negotiated	$462.6
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	both	negotiated	$462.6
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	both	negotiated	$436.9
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	both	negotiated	$436.9
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	both	negotiated	$387.35
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	both	negotiated	$387.35
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	both	negotiated	$387.35
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	both	negotiated	$387.35
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$185.08
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	both	negotiated	$175.87
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	both	negotiated	$175.87
WHITESBURG ARH	KY	Aetna	Medicaid	both	negotiated	$173.96
TUG VALLEY ARH	KY	Aetna	Medicaid	both	negotiated	$173.96
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Managed Medicaid	both	negotiated	$159.52
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicaid	both	negotiated	$159.52
TUG VALLEY ARH	KY	WellCare	Medicaid	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	christian county health dept-cchd	Commercial	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	beacon health	Managed Medicaid	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Traditional/PPO/HMO/HIC	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	HPN/HMO	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	WellCare	Managed Medicaid	both	negotiated	$159.52
WHITESBURG ARH	KY	WellCare	Medicaid	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	Aetna	Managed Medicaid	both	negotiated	$159.52
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	both	negotiated	$117.78
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	both	negotiated	$112.17
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	both	negotiated	$112.17
WHITESBURG ARH	KY	WellCare	Medicare	both	negotiated	$106.59
WHITESBURG ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$106.59
WHITESBURG ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$106.59
WHITESBURG ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$106.59
TUG VALLEY ARH	KY	WellCare	Medicare	both	negotiated	$106.59
TUG VALLEY ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$106.59
TUG VALLEY ARH	KY	the health plan	Medicare	both	negotiated	$106.59
HIGHLANDS REGIONAL MEDICAL CENTER	KY	WellCare	Medicare	both	negotiated	$106.59
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Medicare	both	negotiated	$106.59
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$106.59
TUG VALLEY ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$106.59
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$106.59
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicare	both	negotiated	$106.59
TUG VALLEY ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$106.59
TUG VALLEY ARH	KY	Aetna	Medicare	both	negotiated	$106.59
WHITESBURG ARH	KY	Aetna	Medicare	both	negotiated	$106.59
WHITESBURG ARH	KY	caresoure kentucky	Commercial	both	negotiated	$106.59
TUG VALLEY ARH	KY	the health plan	Medicaid	both	negotiated	$91.62
SPRING VIEW HOSPITAL	KY	[De-identified Max]	—	outpatient	max	$8,329.53
JENNIE STUART MEDICAL CENTER	KY	[De-identified Max]	—	outpatient	max	$1,471.54
CCH AT BAPTIST HEALTH CORBIN	KY	[De-identified Max]	—	outpatient	max	$1,425
JENNIE STUART MEDICAL CENTER	KY	[De-identified Max]	—	both	max	$489.59
TUG VALLEY ARH	KY	[De-identified Max]	—	both	max	$175.87
HIGHLANDS REGIONAL MEDICAL CENTER	KY	[De-identified Max]	—	both	max	$175.87
WHITESBURG ARH	KY	[De-identified Max]	—	both	max	$173.96

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).