Upper endoscopy with submucosal injection at Boulder Community Health

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

UPPR GI SCOPE W/SUBMUC INJ

Boulder, CO

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $272 is 77% below the median hospital's median price ($1.2k), higher than 8% of the 2,120 hospitals reporting CPT 43236. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43236 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna medicare advantage professional · case rate · both	$125	$125	—	—	—	$125 – $125
2	Anthem medicare advantage professional · fee schedule · both	$125	$125	—	—	—	$125 – $125
3	Devoted medicare advantage professional · fee schedule · both	$125	$125	—	—	—	$125 – $125
4	Humana medicare advantage professional · fee schedule · both	$125	$125	—	—	—	$125 – $125
5	Kaiser medicare advantage professional · fee schedule · both	$155	$155	—	—	—	$155 – $155
6	Anthem commercial professional · fee schedule · both	$168	$185	$26	14%	—	$168 – $227
7	Kaiser commercial professional · fee schedule · both	$197	$197	—	—	—	$197 – $197
8	MultiPlan commercial professional · fee schedule · both	$210	$210	—	—	—	$210 – $210
9	Phcs commercial professional · fee schedule · both	$210	$210	—	—	—	$210 – $210
10	Cigna commercial facility · fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
11	Anthem managed care professional · fee schedule · both	$227	$227	—	—	—	$227 – $227
12	Cigna commercial professional · fee schedule · both	$230	$230	—	—	—	$230 – $230
13	Aetna commercial professional · fee schedule · both	$272	$272	—	—	—	$272 – $272
14	Aetna ppo professional · fee schedule · both	$272	$272	—	—	—	$272 – $272
15	UnitedHealthcare commercial professional · fee schedule · both	$276	$276	—	—	—	$276 – $276
16	UnitedHealthcare medicare advantage professional · fee schedule · both	$546	$546	$421	77%	—	$125 – $967
17	Aetna medicare advantage facility · case rate · outpatient	$967	$967	—	—	—	$967 – $967
18	Anthem medicare advantage facility · case rate · outpatient	$967	$967	—	—	—	$967 – $967
19	Humana medicare advantage facility · case rate · outpatient	$987	$987	—	—	—	$987 – $987
20	UnitedHealthcare medicare advantage facility · case rate · outpatient	$987	$987	—	—	—	$987 – $987
21	Kaiser medicare advantage facility · case rate · outpatient	$992	$992	$5	0%	—	$987 – $996
22	Devoted medicare advantage facility · case rate · outpatient	$996	$996	—	—	—	$996 – $996
23	Kaiser commercial facility · case rate · outpatient	$2.1k	$2.1k	$255	12%	—	$1.9k – $2.4k
24	Kaiser managed care facility · case rate · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
25	Anthem commercial facility · case rate · outpatient	$2.2k	$2.5k	$596	24%	—	$1.9k – $3.4k

Page 1 of 2 · 27 rates

Last updated: Sep 16, 2026

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See Upper endoscopy with submucosal injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.