Upper GI endoscopy diagnostic in West Virginia
What West Virginia hospitals charge for upper gi endoscopy diagnostic (CPT 43235). Rates sourced from federally-mandated machine-readable files.
Hospitals
16
Rate rows
216
Neg. median
$1,141.32
Min
$111.82
Max
$1,975
Cash median
$833
Across 16 West Virginia hospitals, the negotiated rate for Upper GI endoscopy diagnostic ranges from $111.82 to $1,975, with a median of $1,141.32. The interquartile range is $894.01 to $1,374.21. Cash-pay patients typically pay $833; gross charges median $1,666.
By payer in West Virginia
Top 30 payers for Upper GI endoscopy diagnostic in West Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 1 | 5 | $1,155.45 |
| Blue Cross Blue Shield | 1 | 9 | $870.88 |
| CHAMPVA | 1 | 2 | $1,113.41 |
| Cigna | 1 | 5 | $1,100.43 |
| commonwealth care alliance [10103] | 1 | 3 | $1,155.45 |
| connecticare [11105] | 1 | 1 | $1,975 |
| evernorth behavioral health [27] | 1 | 1 | $1,580 |
| fallon carelon hlth [28] | 1 | 1 | $1,975 |
| fallon connectorcare [10503] | 1 | 4 | $608.16 |
| fallon mcaid carelon hlth [29] | 1 | 1 | $1,975 |
| fallon mcr [10105] | 1 | 3 | $1,155.45 |
| fallon mcr supp [20202] | 1 | 3 | $1,155.45 |
| First Health | 1 | 1 | $1,481.25 |
| grants [20507] | 1 | 1 | $1,975 |
| harvard pilgrim [10701] | 1 | 6 | $745.36 |
| hne [11108] | 1 | 1 | $1,285.33 |
| hp optum bh [32] | 1 | 1 | $1,975 |
| hsno/free care [10801] | 1 | 2 | $680.81 |
| institution [10406] | 1 | 3 | $1,100.43 |
| masshealth mcd mbhp [38] | 1 | 1 | $1,975 |
| Medicaid | 1 | 2 | $569.41 |
| mgb mcr [10124] | 1 | 3 | $1,100.43 |
| senior whole health [10110] | 1 | 2 | $1,177.46 |
| tufts [11201] | 1 | 2 | $1,052.88 |
| tufts connectorcare [10507] | 1 | 3 | $1,871.83 |
| tufts mcr [10112] | 1 | 4 | $1,148.39 |
| tufts us family [11203] | 1 | 2 | $1,100.43 |
| UnitedHealthcare | 1 | 6 | $1,177.46 |
| wellpoint [11112] | 1 | 2 | $1,508.22 |
| wellsense mcaid carelon hlth [21] | 1 | 1 | $1,975 |
Hospital comparison — Upper GI endoscopy diagnostic in West Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Webster County Memorial Hospital | Webster Springs | $1,141.32 | $6,851.82 | $6,851.82 |
| City Hospital Inc. | Martinsburg | — | $352.5 | $705 |
| Reynolds Memorial Hospital | Glen Dale | — | $466.75 | $933.5 |
| Jackson General Hospital | Ripley | — | $728 | $1,456 |
| Princeton Community Hospital | Princeton | — | $1,218.5 | $2,437 |
| Wheeling Hospital | Wheeling | — | $968.5 | $1,937 |
| Camden-Clark Memorial Hospital | Parkersburg | — | $449 | $898 |
| Wetzel County Hospital | New Martinsville | — | $3,500.67 | $7,001.34 |
| Summersville Regional Med Center | Summersville | — | $508.5 | $1,017 |
| Braxton County Memorial Hospital | Gassaway | — | $132.5 | $265 |
| Potomac Valley Hospital | Keyser | — | $466.5 | $933 |
| Grant Memorial Hospital | Petersburg | — | $503.6 | $629.5 |
| Jackson General Hospital | Ripley | — | $728 | $1,456 |
| St. Josephs Hospital Of Buckhannon | Buckhannon | — | $459.59 | $919.17 |
| West Virginia University Hospitals | Morgantown | — | $1,192 | $2,384 |
| Summersville Regional Med Center | Summersville | — | $508.5 | $1,017 |