CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Teton Valley Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$175
about 0.2× the $927 Medicare rate · typically $82–$465
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
About the fair price
about $22 over the fair price · 0.2× Medicare
Medicare pays $927 Fair price $175 This hospital $197 Cash price $254 Hospital's list price $317

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 5 charge more and 3 charge less, among the 9 ID hospitals compared.

Cheapest $99 Priciest $284

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

A fair price for a Upper endoscopy with biopsy is about $175 (about 0.2× the $927 Medicare rate). Teton Valley Hospital charges insurers about $197, or about $254 in cash — about the fair price. Located in Driggs, ID.

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✓ Cigna✓ Humana AetnaKaiser 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 $116 13%
Blue Cross Blue Shieldmajor $188 - $317 20%
Cignamajor $174 - $197 19%
Humanamajor $116 13%
Moda Health $203 22%
SelectHealth $233 25%
+ 3 smaller / regional plans $145 - $367
Government programs also on file: Medicare, Military & VA.
Excludes 3 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: 120 East Howard Ave, Driggs, ID 83422
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals