CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Uchealth Grandview Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$438
about 0.5× the $927 Medicare rate · typically $131–$1,606
modeled estimate · not a bill or quote
What this hospital charges insurers
$942
Well above the fair price
about $504 over the fair price · 1.0× Medicare
Medicare pays $927 Fair price $438 This hospital $942 Cash price $1,157 Hospital's list price $3,307

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 $942

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 $438 (about 0.5× the $927 Medicare rate). Uchealth Grandview Hospital charges insurers about $942, or about $1,157 in cash — well above the fair price. Located in Colorado Springs, 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 $438. 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 $942 - $4,331 102%
Blue Cross Blue Shieldmajor $597 - $3,568 64%
Aetnamajor $942 - $3,349 102%
Cignamajor $942 - $6,800 102%
Humanamajor $942 102%
Kaiser Permanentemajor $831 - $1,117 90%
Devoted Health $942 102%
SelectHealth $762 - $2,170 82%
+ 3 smaller / regional plans $1,055 - $1,786
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5623 Pulpit Peak Vw, Colorado Springs, CO 80918
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals