CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lakewood Ranch Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,399
about 2.6× the $927 Medicare rate · typically $842–$2,970
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,210
About the fair price
about $189 under the fair price · 2.4× Medicare
Medicare pays $927 Fair price $2,399 This hospital $2,210 Cash price $1,312 Hospital's list price $3,281

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $93 Priciest $2,210

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $2,399 (about 2.6× the $927 Medicare rate). Lakewood Ranch Medical Center charges insurers about $2,210, or about $1,312 in cash — about the fair price. Located in Bradenton, FL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $2,210 - $2,456 238%
Blue Cross Blue Shieldmajor $1,885 - $3,305 203%
Aetnamajor $1,758 - $2,084 190%
Cignamajor $663 72%
Humanamajor $722 78%
+ 1 smaller / regional plan $1,148
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 8330 Lakewood Ranch Blvd, Bradenton, FL 34202
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals