CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Griffin Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$625
about 0.7× the $927 Medicare rate · typically $316–$2,135
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $625 Hospital's list price $197

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,121 121%
Blue Cross Blue Shieldmajor $1,121 - $2,833 121%
Aetnamajor $1,121 - $3,983 121%
Cignamajor $1,121 - $2,650 121%
+ 4 smaller / regional plans $230 - $1,121

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 130 Division St, Derby, CT 06418
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals