CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kingman Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$603

about 0.7× the $927 Medicare rate · typically $200–$1,851

modeled estimate · not a bill or quote

What this hospital charges insurers

$188

Below the fair price — a good deal

about $415 under the fair price · 0.2× Medicare

Medicare pays $927 Fair price $603 This hospital $188 Cash price $451 Hospital's list price $1,288

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

One of the lower prices — 7 of 8 other AZ hospitals charge more for the same procedure.

Cheapest $125 Priciest $587

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $603 (about 0.7× the $927 Medicare rate). Kingman Regional Medical Center charges insurers about $188, or about $451 in cash — below the fair price — a good deal. Located in Kingman, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$155 - $606	17%
Blue Cross Blue Shieldmajor	$260	28%
Aetnamajor	$188	20%
Cignamajor	$552	60%
Humanamajor	$136 - $560	15%
+ 15 smaller / regional plans	$121 - $1,408

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 451), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Kingman Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Kingman Regional Medical Center

Compare: Upper endoscopy with biopsy at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.