CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Los Alamos Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,441
about 1.6× the $927 Medicare rate · typically $670–$1,910
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,441 Cash price $6,872 Hospital's list price $11,453
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $4,752 | 513% |
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Other Procedures at Los Alamos Medical Center
Compare: Upper endoscopy with biopsy at other NM hospitals
- Gila Regional Medical Center · Silver City $526
- UNM Hospital · Albuquerque $893
- Eastern New Mexico Medical Center · Roswell $928
- Mountain View Regional Medical Center · Las Cruces $928
- Covenant Health Hobbs Hospital · Hobbs $945
- Dr Dan C Trigg Memorial Hospital · Tucumcari $1,037
- Carlsbad Medical Center · Carlsbad $1,098
- Presbyterian Hospital · Albuquerque $1,571
Insurance negotiated median for the same procedure, sorted lowest first.