CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: South Peninsula Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$624
about 0.7× the $927 Medicare rate · typically $223–$1,599
modeled estimate · not a bill or quote
What this hospital charges insurers
$500
Below the fair price — a good deal
about $124 under the fair price · 0.5× Medicare
Medicare pays $927 Fair price $624 This hospital $500 Cash price $1,731 Hospital's list price $2,308

How we calculate the fair BaseRate →

How this hospital compares to other AK hospitals

One of the lower prices — 4 of 5 other AK hospitals charge more for the same procedure.

Cheapest $499 Priciest $1,595

Black dot = this hospital, among the 6 AK hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Upper endoscopy with biopsy is about $624 (about 0.7× the $927 Medicare rate). South Peninsula Hospital charges insurers about $500, or about $1,731 in cash — below the fair price — a good deal. Located in Homer, AK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $402 43%
Blue Cross Blue Shieldmajor $598 - $710 65%
Aetnamajor $1,962 - $2,078 212%
Cignamajor $2,193 237%
GEHA $2,078 224%
Moda Health $2,193 237%
+ 6 smaller / regional plans $241 - $2,262
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 4300 Bartlett St, Homer, AK 99603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals