CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: The Queens Medical Center
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,095
about 1.2× the $927 Medicare rate · typically $332–$1,191
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $1,095 Cash price $936 Hospital's list price $1,338
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana
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 | $1,066 - $4,277 | 115% |
| Kaiser Permanentemajor | $1,066 - $2,985 | 115% |
| + 10 smaller / regional plans | $208 - $4,723 |
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Other Procedures at The Queens Medical Center
Compare: Upper endoscopy with biopsy at other HI hospitals
- Kau Hospital · Pahala $139
- Samuel Mahelona Memorial Hospital · Kapaa $139
- Adventist Health Castle · Kailua $161
- Kohala Hospital · Kapaau $925
- Kapiolani Medical Center for Women & Children · Honolulu $984
- Kaiser Foundation Hospital · Honolulu $1,008
- Straub Clinic and Hospital · Honolulu $1,134
- Kona Community Hospital · Kealakekua $1,135
Insurance negotiated median for the same procedure, sorted lowest first.