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Upper GI endoscopy with biopsy

CPT 43239 · negotiated-rate distribution across hospitals in CO

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Hospitals
5
Min
$809.44
Median
$1,362.00
Max
$1,877.58
Range multiplier
2.3×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield24$571.86$1,093.29$1,980.003.5×
negotiated charge14$225.66$864.40$1,043.114.6×
UnitedHealthcare23$1,342.00$1,342.00$3,000.002.2×
devon health services11$2,002.75$2,002.75$2,002.751.0×
employer direct healthcare11$488.00$488.00$488.001.0×
Humana11$804.58$804.58$804.581.0×
intergroup11$1,877.58$1,877.58$1,877.581.0×
medincrease11$2,253.10$2,253.10$2,253.101.0×
Multiplan11$2,002.75$2,002.75$2,002.751.0×
presbyterian of nm: mcd11$571.86$571.86$571.861.0×
presbyterian of nm: mcr ppo11$804.58$804.58$804.581.0×
prime health services11$2,127.92$2,127.92$2,127.921.0×
prime health services work comp11$1,427.64$1,427.64$1,427.641.0×
provider network of amercia11$1,877.58$1,877.58$1,877.581.0×
quik trip11$1,877.58$1,877.58$1,877.581.0×
rocky mountain health plan: mcd11$876.37$876.37$876.371.0×
southwest health alliance11$1,590.40$1,590.40$1,590.401.0×
usa managed care organization11$1,877.58$1,877.58$1,877.581.0×
velocity provider ppo network11$1,877.58$1,877.58$1,877.581.0×
allsavers op11$3,000.00$3,000.00$3,000.001.0×
Workers Comp11$1,328.29$1,328.29$1,328.291.0×
america's choice11$1,752.41$1,752.41$1,752.411.0×
charge amount11$499.00$499.00$499.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Animas Surgical HospitalDurangoCO11$1,590.40$488.00$840.48$3,000.00
Pioneers Medical CenterMeekerCO2$399.20$225.66$809.44$1,043.11
Pam Specialty Hospital Of DenverDenverCO10$2,503.44$2,503.44$1,752.41$1,877.58$2,253.10
Mt. San Rafael HospitalTrinidadCO2$2,200.00$1,540.00$1,342.00$1,362.00$1,980.00
Vail Valley Medical CenterVailCO0$1,212.00$909.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.