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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

$111.82 – $1,975.00

Negotiated median

$1,141.32

CPT 43235 Upper GI endoscopy diagnostic · Showing 200 of 216 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$31,911
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$19,031
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$11,823
Webster County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$7,342.66
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$7,001.34
Webster County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$6,851.82
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$5,308.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$4,004.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$3,280.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$2,896.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,694.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,690.67
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$2,658.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,578.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,437.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$2,384.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,208.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,203.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$2,159.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$2,159.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,159.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$1,975.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$1,769.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,680.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,666.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,566.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,488.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,456.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,244.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,106.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$1,077.34
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$958.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$949.34
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$933.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$915.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$838.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$761.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$705.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$635.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$600.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$575.66
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$494.50
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$265.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$265.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$251.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$15,956
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$9,515.25
Webster County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$7,342.66
Webster County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$6,851.82
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$5,911.50
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$3,500.67
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$2,654.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$2,002.00
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$1,975.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,640.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,448.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,347.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,345.34
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,329.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$1,289.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,218.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,192.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,104.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,101.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,079.50
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$1,079.50
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,079.50
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$884.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$840.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$833.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$783.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$744.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$728.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$622.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$553.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$538.67
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$479.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$474.67
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$466.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$457.50
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$419.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$380.50
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$352.50
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$317.50
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$300.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$287.83
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$247.25
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$200.80
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$132.50
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$132.50
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$927.23
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$872.90
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$865.77
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$567.46
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$567.46
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$562.75
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$435.44
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$283.73
Webster County Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$111.82
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$105.00
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$105.00
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$105.00
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$105.00
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$105.00
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$105.00
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$105.00
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$25.00
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$1,975.00
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$1,871.83
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	outpatient	negotiated	$1,871.83
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$1,848.94
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$1,677.17
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$1,677.17
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$1,587.90
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$1,580.00
Webster County Memorial Hospital	WV	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	both	negotiated	$1,508.22
Webster County Memorial Hospital	WV	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	outpatient	negotiated	$1,508.22
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$1,481.25
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$1,420.62
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$1,403.83
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$1,403.83
Webster County Memorial Hospital	WV	hne [11108]	All HEALTH NEW ENGLAND HR [294] Plans	both	negotiated	$1,285.33
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$1,177.46
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	outpatient	negotiated	$1,177.46
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	both	negotiated	$1,177.46
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	outpatient	negotiated	$1,177.46
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plans	both	negotiated	$1,155.45
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	outpatient	negotiated	$1,155.45
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$1,141.32
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$1,141.32
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$1,141.32
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$1,141.32
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	both	negotiated	$1,141.32
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	outpatient	negotiated	$1,136.96
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$1,136.96
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$1,123.06
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$1,113.41
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	outpatient	negotiated	$1,113.41
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$1,100.43
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	outpatient	negotiated	$1,100.43
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$1,086.97
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$1,086.97
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$1,086.97
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$1,027.00
Webster County Memorial Hospital	WV	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$963.41
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$870.88
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$870.88
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	outpatient	negotiated	$870.88
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	outpatient	negotiated	$870.88
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	outpatient	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	outpatient	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	outpatient	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$745.36
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$745.36
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$710.31
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$701.92
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$701.92
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	outpatient	negotiated	$680.81
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	both	negotiated	$680.81
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	both	negotiated	$570.66
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	outpatient	negotiated	$506.00
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$435.44
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$435.44
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	outpatient	negotiated	$377.00
Webster County Memorial Hospital	WV	Medicaid	All TUFTS TOGETHER HR [124] Plans	outpatient	negotiated	$111.82
Princeton Community Hospital	WV	[De-identified Max]	—	outpatient	max	$5,003.43
Wheeling Hospital	WV	[De-identified Max]	—	outpatient	max	$3,582.22
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$1,975.00
Webster County Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$1,871.83
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$1,309.52
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$1,309.35
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$1,298.66
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$1,298.65
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$1,010.68
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$943.69
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$654.76

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).