CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Aspen Valley Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$352
about 0.4× the $927 Medicare rate · typically $194–$1,283
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $352 Cash price $1,646 Hospital's list price $1,646
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 | $889 - $1,646 | 96% |
| Blue Cross Blue Shieldmajor | $1,292 - $1,523 | 139% |
| Aetnamajor | $889 - $1,646 | 96% |
| Cignamajor | $1,152 - $1,646 | 124% |
| Humanamajor | $889 - $1,564 | 96% |
| Kaiser Permanentemajor | $1,646 | 178% |
| GEHA | $1,564 | 169% |
| Harvard Pilgrim | $1,646 | 178% |
| Health Net | $1,646 | 178% |
| Tufts Health Plan | $1,646 | 178% |
| + 38 smaller / regional plans | $1,564 - $1,646 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 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.
Other Procedures at Aspen Valley Hospital
Compare: Upper endoscopy with biopsy at other CO hospitals
- Mercy Regional Medical Center · Durango $131
- Centura Health-St Anthony Hospital · Lakewood $131
- Centura Health-Penrose St Francis Health Services · Colorado Springs $131
- St Elizabeth Hospital · Fort Morgan $131
- Centura Health-St Anthony North Health Campus · Westminster $131
- St Anthony Summit Medical Center · Frisco $131
- Orthocolorado Hosp at St Anthony Med Campus · Lakewood $131
- St Francis Hospital - Interquest · Colorado Springs $131
Insurance negotiated median for the same procedure, sorted lowest first.