CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Denver Health & Hospital Authority
Billing Code: 43239 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,667
about 1.8× the $927 Medicare rate · typically $244–$3,184
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,667 Cash price $565 Hospital's list price $1,616
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $5,513 | 595% |
| Blue Cross Blue Shieldmajor | $3,500 | 378% |
| Aetnamajor | $957 - $3,200 | 103% |
| Cignamajor | $3,478 | 375% |
| + 3 smaller / regional plans | $554 - $1,558 |
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Other Procedures at Denver Health & Hospital Authority
Compare: Upper endoscopy with biopsy at other CO hospitals
- Mercy Regional Medical Center · Durango $131
- Centura Health-St Anthony Hospital · Lakewood $131
- Centura Health-Penrose St Francis Health Services · Colorado Springs $131
- St Elizabeth Hospital · Fort Morgan $131
- Centura Health-St Anthony North Health Campus · Westminster $131
- St Anthony Summit Medical Center · Frisco $131
- Orthocolorado Hosp at St Anthony Med Campus · Lakewood $131
- St Francis Hospital - Interquest · Colorado Springs $131
Insurance negotiated median for the same procedure, sorted lowest first.