Payer comparison · CPT 43259 · DENVER, CO

43259 — Egd US Exam Duodenum/jejunum

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.

$3,578 All-payer median here

$3,339 Cash / self-pay here

14 payer/plan-name variants

← This hospital National rates for 43259 →

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

DENVER HEALTH MEDICAL PLAN INC	$12,808	258.0%	1
Kaiser Permanente	$5,229	46.2%	2
UnitedHealthcare	$4,585	28.2%	2
SelectHealth	$3,932	9.9%	3
MultiPlan	$3,578	0.0%	1
PHCS (Private Healthcare Systems)	$3,578	0.0%	1
Rocky Mountain Health	$3,578	0.0%	1
Cigna Healthcare	$3,125	-12.7%	2
Humana	$3,100	-13.3%	3
90Th_Percentile \|Anthem\|Hmo_Ppo_Indemnity_Fep	$3,039	-15.0%	1
Median_Amount \|Anthem\|Hmo_Ppo_Indemnity_Fep	$3,039	-15.0%	1
Anthem (Elevance Health)	$2,801	-21.7%	2
Aetna	$2,682	-25.0%	2
Centers for Medicare & Medicaid Services	$2,024	-43.4%	1

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.