Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 43238 · DENVER, CO

43238 — Egd US Fine Needle Bx/aspir

What each payer pays NATIONAL JEWISH HEALTH (CCN 060107) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$3,100 All-payer median here
$3,339 Cash / self-pay here
12 payer/plan-name variants
← This hospital National rates for 43238 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
SelectHealth $3,932 26.8% 3
MultiPlan $3,578 15.4% 1
Rocky Mountain Health $3,578 15.4% 1
PHCS (Private Healthcare Systems) $3,578 15.4% 1
Cigna Healthcare $3,125 0.8% 2
Humana $3,100 0.0% 3
Anthem (Elevance Health) $2,801 -9.7% 2
Aetna $2,682 -13.5% 2
Kaiser Permanente $2,506 -19.2% 2
Centers for Medicare & Medicaid Services $2,024 -34.7% 1
DENVER HEALTH MEDICAL PLAN INC $1,914 -38.3% 1
UnitedHealthcare $1,862 -40.0% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.