CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Centura Health-Penrose St Francis Health Services

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$391
about 0.4× the $927 Medicare rate · typically $130–$1,639
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
Below the fair price — a good deal
about $260 under the fair price · 0.1× Medicare
Medicare pays $927 Fair price $391 This hospital $131

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Lowest price of the 9 CO hospitals we have prices for — a strong deal.

Cheapest $131 Priciest $134

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 $391 (about 0.4× the $927 Medicare rate). Centura Health-Penrose St Francis Health Services charges insurers about $131 — below the fair price — a good deal. Located in Colorado Springs, 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 $130 - $131 14%
Blue Cross Blue Shieldmajor $131 - $803 14%
Aetnamajor $131 14%
Cignamajor $131 14%
Humanamajor $131 14%
Kaiser Permanentemajor $131 14%
Devoted Health $131 14%
+ 2 smaller / regional plans $131
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2222 N Nevada Ave, Colorado Springs, CO 80907
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals