CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Midstate Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$587
about 0.6× the $927 Medicare rate · typically $316–$1,979
modeled estimate · not a bill or quote
What this hospital charges insurers
$371
Below the fair price — a good deal
about $216 under the fair price · 0.4× Medicare
Medicare pays $927 Fair price $587 This hospital $371 Cash price $3,288 Hospital's list price $3,288

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 4 of 8 other CT hospitals charge more for the same procedure.

Cheapest $143 Priciest $1,121

Black dot = this hospital, among the 9 CT 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 $587 (about 0.6× the $927 Medicare rate). Midstate Medical Center charges insurers about $371, or about $3,288 in cash — below the fair price — a good deal. Located in Meriden, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $371 40%
Blue Cross Blue Shieldmajor $371 - $8,935 40%
Aetnamajor $380 41%
Molina $371 40%
Tufts Health Plan $371 40%
WellCare $378 41%
+ 1 smaller / regional plan $371

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 435 Lewis Avenue, Meriden, CT 06450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals