CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Community Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,315
about 1.4× the $927 Medicare rate · typically $766–$3,748
modeled estimate · not a bill or quote
What this hospital charges insurers
$952
Below the fair price — a good deal
about $363 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,315 This hospital $952 Cash price $4,455 Hospital's list price $7,955

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 $952

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $1,315 (about 1.4× the $927 Medicare rate). Community Hospital charges insurers about $952, or about $4,455 in cash — below the fair price — a good deal. Located in Grand Junction, 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 $952 103%
Blue Cross Blue Shieldmajor $1,047 113%
Aetnamajor $952 103%
Cignamajor $1,047 113%
Humanamajor $952 103%
Kaiser Permanentemajor $981 106%
+ 1 smaller / regional plan $809

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 2351 'G' Rd, Grand Junction, CO 81505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals