CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Gila Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$801
about 0.9× the $927 Medicare rate · typically $284–$1,269
modeled estimate · not a bill or quote
What this hospital charges insurers
$526
Below the fair price — a good deal
about $275 under the fair price · 0.6× Medicare
Medicare pays $927 Fair price $801 This hospital $526 Cash price $1,469 Hospital's list price $1,836

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 8 NM hospitals we have prices for — a strong deal.

Cheapest $526 Priciest $1,571

Black dot = this hospital, among the 8 NM hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $801 (about 0.9× the $927 Medicare rate). Gila Regional Medical Center charges insurers about $526, or about $1,469 in cash — below the fair price — a good deal. Located in Silver City, NM.

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 $72 - $525 8%
Presbyterian $527 - $1,684 57%
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1313 E 32Nd St, Silver City, NM 88061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals