CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Boulder Community Health

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$658
about 0.7× the $927 Medicare rate · typically $209–$2,376
modeled estimate · not a bill or quote
What this hospital charges insurers
$640
About the fair price
about $18 under the fair price · 0.7× Medicare
Medicare pays $927 Fair price $658 This hospital $640

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $131 Priciest $640

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

A fair price for a Upper endoscopy with biopsy is about $658 (about 0.7× the $927 Medicare rate). Boulder Community Health charges insurers about $640 — about the fair price. Located in Boulder, CO.

What each insurance company pays

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

6 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 $134 - $968 14%
Blue Cross Blue Shieldmajor $370 - $3,560 40%
Aetnamajor $270 - $942 29%
Cignamajor $221 - $4,092 24%
Humanamajor $136 - $942 15%
Kaiser Permanentemajor $570 - $2,208 62%
Devoted Health $370 - $942 40%
SelectHealth $519 - $2,195 56%
+ 4 smaller / regional plans $117 - $970
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals