CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Uchealth Pikes Peak Regional Hospital
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,176
about 1.3× the $927 Medicare rate · typically $499–$1,918
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,176 Cash price $1,540 Hospital's list price $1,925
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 | $481 - $3,090 | 52% |
| Blue Cross Blue Shieldmajor | $481 - $1,287 | 52% |
| Aetnamajor | $481 - $1,578 | 52% |
| Cignamajor | $481 - $1,540 | 52% |
| Humanamajor | $481 | 52% |
| Kaiser Permanentemajor | $481 - $1,636 | 52% |
| Devoted Health | $481 | 52% |
| SelectHealth | $481 - $4,007 | 52% |
| + 2 smaller / regional plans | $882 - $1,636 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Uchealth Pikes Peak Regional 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.