Search hospital rates

Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$225.66 – $3,000.00

Negotiated median

$1,382.00

CPT 43239 Upper GI endoscopy with biopsy · Showing 49 of 49 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Pam Specialty Hospital Of Denver	CO	Chargemaster	N/A	inpatient	gross	$2,503.44
Mt. San Rafael Hospital	CO	Chargemaster	N/A	outpatient	gross	$2,200.00
Vail Valley Medical Center	CO	Chargemaster	N/A	both	gross	$1,212.00
Pam Specialty Hospital Of Denver	CO	Cash pay	N/A	inpatient	cash	$2,503.44
Animas Surgical Hospital	CO	Cash pay	N/A	—	cash	$1,590.40
Mt. San Rafael Hospital	CO	Cash pay	N/A	outpatient	cash	$1,540.00
Vail Valley Medical Center	CO	Cash pay	N/A	both	cash	$909.00
Pioneers Medical Center	CO	Cash pay	N/A	—	cash	$399.20
Pam Specialty Hospital Of Denver	CO	[De-identified Min]	—	inpatient	min	$1,752.41
Mt. San Rafael Hospital	CO	[De-identified Min]	—	outpatient	min	$1,342.00
Vail Valley Medical Center	CO	[De-identified Min]	—	both	min	$759.92
Animas Surgical Hospital	CO	[de-identified min]	—	—	min	$488.00
Pioneers Medical Center	CO	[de-identified min]	—	—	min	$225.66
Animas Surgical Hospital	CO	allsavers op	—	—	negotiated	$3,000.00
Animas Surgical Hospital	CO	UnitedHealthcare	—	—	negotiated	$3,000.00
Pam Specialty Hospital Of Denver	CO	medincrease	Commercial	inpatient	negotiated	$2,253.10
Pam Specialty Hospital Of Denver	CO	prime health services	Commercial	inpatient	negotiated	$2,127.92
Pam Specialty Hospital Of Denver	CO	Multiplan	Commercial	inpatient	negotiated	$2,002.75
Pam Specialty Hospital Of Denver	CO	devon health services	All Plans	inpatient	negotiated	$2,002.75
Mt. San Rafael Hospital	CO	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,980.00
Pam Specialty Hospital Of Denver	CO	usa managed care organization	Health and Wellness HMO	inpatient	negotiated	$1,877.58
Pam Specialty Hospital Of Denver	CO	intergroup	All Plans	inpatient	negotiated	$1,877.58
Pam Specialty Hospital Of Denver	CO	quik trip	Employee Coverage	inpatient	negotiated	$1,877.58
Pam Specialty Hospital Of Denver	CO	provider network of amercia	All Plans	inpatient	negotiated	$1,877.58
Pam Specialty Hospital Of Denver	CO	velocity provider ppo network	Group Health and All Other	inpatient	negotiated	$1,877.58
Pam Specialty Hospital Of Denver	CO	america's choice	PPO	inpatient	negotiated	$1,752.41
Animas Surgical Hospital	CO	southwest health alliance	—	—	negotiated	$1,590.40
Animas Surgical Hospital	CO	prime health services work comp	—	—	negotiated	$1,427.64
Mt. San Rafael Hospital	CO	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$1,382.00
Mt. San Rafael Hospital	CO	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$1,342.00
Mt. San Rafael Hospital	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$1,342.00
Animas Surgical Hospital	CO	Workers Comp	—	—	negotiated	$1,328.29
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$1,043.11
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$919.36
Animas Surgical Hospital	CO	rocky mountain health plan: mcd	—	—	negotiated	$876.37
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$809.44
Animas Surgical Hospital	CO	Blue Cross Blue Shield	—	—	negotiated	$804.58
Animas Surgical Hospital	CO	presbyterian of nm: mcr ppo	—	—	negotiated	$804.58
Animas Surgical Hospital	CO	Humana	—	—	negotiated	$804.58
Animas Surgical Hospital	CO	presbyterian of nm: mcd	—	—	negotiated	$571.86
Animas Surgical Hospital	CO	Blue Cross Blue Shield	—	—	negotiated	$571.86
Pioneers Medical Center	CO	charge amount	—	—	negotiated	$499.00
Animas Surgical Hospital	CO	employer direct healthcare	—	—	negotiated	$488.00
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$225.66
Animas Surgical Hospital	CO	[de-identified max]	—	—	max	$3,000.00
Pam Specialty Hospital Of Denver	CO	[De-identified Max]	—	inpatient	max	$2,253.10
Mt. San Rafael Hospital	CO	[De-identified Max]	—	outpatient	max	$1,980.00
Vail Valley Medical Center	CO	[De-identified Max]	—	both	max	$1,151.40
Pioneers Medical Center	CO	[de-identified max]	—	—	max	$1,043.11

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).