CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: University Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$310
about 0.3× the $927 Medicare rate · typically $150–$892
modeled estimate · not a bill or quote
What this hospital charges insurers
$395
Above the fair price
about $85 over the fair price · 0.4× Medicare
Medicare pays $927 Fair price $310 This hospital $395 Cash price $370 Hospital's list price $1,194

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $154 Priciest $1,036

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

A fair price for a Upper endoscopy with biopsy is about $310 (about 0.3× the $927 Medicare rate). University Medical Center charges insurers about $395, or about $370 in cash — above the fair price. Located in Las Vegas, NV.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $310. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $131 - $1,516 14%
Blue Cross Blue Shieldmajor $131 - $1,996 14%
Aetnamajor $118 - $2,738 13%
Cignamajor $294 - $2,060 32%
Kaiser Permanentemajor $294 - $2,060 32%
Ambetter (Centene) $141 - $1,606 15%
GEHA $146 - $533 16%
Health Net $147 - $5,141 16%
HealthPartners $131 - $1,686 14%
Molina $131 - $1,534 14%
SelectHealth $131 - $1,534 14%
+ 69 smaller / regional plans $118 - $51,063
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: 1800 W Charleston Blvd, Las Vegas, NV 89102
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals