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.
Original text from hospital filings
EGD US EXAM DUODENUM/JEJUNUM
Boulder, CO
See all hospitals reporting CPT 43259 →Price type
Boulder Community Health’s median price of $445 is 80% below the median hospital's median price ($2.2k), higher than 11% of the 1,898 hospitals reporting CPT 43259. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $201 | $201 | — | — | — | $201 – $201 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $201 | $201 | — | — | — | $201 – $201 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $201 | $201 | — | — | — | $201 – $201 |
| 4 | Humana medicare advantage professional · fee schedule · both | $201 | $201 | — | — | — | $201 – $201 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 6 | Anthem commercial professional · fee schedule · both | $275 | $302 | $43 | 14% | — | $275 – $370 |
| 7 | Kaiser commercial professional · fee schedule · both | $317 | $317 | — | — | — | $317 – $317 |
| 8 | MultiPlan commercial professional · fee schedule · both | $343 | $343 | — | — | — | $343 – $343 |
| 9 | Phcs commercial professional · fee schedule · both | $343 | $343 | — | — | — | $343 – $343 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 11 | Anthem managed care professional · fee schedule · both | $370 | $370 | — | — | — | $370 – $370 |
| 12 | Cigna commercial professional · fee schedule · both | $373 | $373 | — | — | — | $373 – $373 |
| 13 | Aetna commercial professional · fee schedule · both | $445 | $445 | — | — | — | $445 – $445 |
| 14 | Aetna ppo professional · fee schedule · both | $445 | $445 | — | — | — | $445 – $445 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $452 | $452 | — | — | — | $452 – $452 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $1.1k | $1.1k | $923 | 82% | — | $201 – $2.0k |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Humana medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Kaiser medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | $10 | 0% | — | $2.1k – $2.1k |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Kaiser commercial facility · case rate · outpatient | $4.5k | $4.5k | $540 | 12% | — | $3.9k – $5.0k |
| 24 | UnitedHealthcare commercial facility · fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | Kaiser managed care facility · case rate · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Sep 16, 2026
See Upper endoscopy with ultrasound of esophagus, stomach and duodenum pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.