CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Gaylord Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$266
about 0.3× the $927 Medicare rate · typically $158–$1,752
modeled estimate · not a bill or quote
What this hospital charges insurers
$143
Below the fair price — a good deal
about $123 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $266 This hospital $143

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 9 CT hospitals we have prices for — a strong deal.

Cheapest $143 Priciest $1,121

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $266 (about 0.3× the $927 Medicare rate). Gaylord Hospital charges insurers about $143 — below the fair price — a good deal. Located in Wallingford, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $130 - $927 14%
Blue Cross Blue Shieldmajor $130 - $927 14%
Aetnamajor $130 - $927 14%
+ 1 smaller / regional plan $130 - $927

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL