CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Bear River Valley Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$922

about 1.0× the $927 Medicare rate · typically $303–$1,460

modeled estimate · not a bill or quote

What this hospital charges insurers

$955

About the fair price

about $33 over the fair price · 1.0× Medicare

Medicare pays $927 Fair price $922 This hospital $955

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Highest price of the 9 UT hospitals we have prices for — worth calling around.

Cheapest $159 Priciest $955

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

A fair price for a Upper endoscopy with biopsy is about $922 (about 1.0× the $927 Medicare rate). Bear River Valley Hospital charges insurers about $955 — about the fair price. Located in Tremonton, UT.

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✓ Humana Kaiser 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	$133 - $1,930	14%
Blue Cross Blue Shieldmajor	$133 - $1,930	14%
Aetnamajor	$133 - $1,930	14%
Cignamajor	$1,930	208%
Humanamajor	$133 - $964	14%
HealthPartners	$133 - $918	14%
Molina	$133 - $992	14%
SelectHealth	$133 - $1,930	14%
+ 21 smaller / regional plans	$133 - $1,930

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 43239.

Insurance Before you use insurance

Call your insurance company to confirm Bear River Valley Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 43239.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bear River Valley Hospital

Compare: Upper endoscopy with biopsy at other UT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.