CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: National Jewish Health

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,234
about 1.3× the $927 Medicare rate · typically $189–$3,036
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,986
Above the fair price
about $752 over the fair price · 2.1× Medicare
Medicare pays $927 Fair price $1,234 This hospital $1,986 Cash price $1,854 Hospital's list price $2,648

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 $1,986

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 $1,234 (about 1.3× the $927 Medicare rate). National Jewish Health charges insurers about $1,986, or about $1,854 in cash — above the fair price. Located in Denver, CO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,234. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $2,024 218%
Blue Cross Blue Shieldmajor $957 - $1,986 103%
Aetnamajor $957 - $1,854 103%
Cignamajor $1,351 - $2,118 146%
Humanamajor $1,721 - $2,024 186%
Kaiser Permanentemajor $2,024 - $2,251 218%
SelectHealth $957 - $2,009 103%
+ 1 smaller / regional plan $1,986
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 1400 Jackson St, Denver, CO 80206
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals