CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Kuakini Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,078
about 1.2× the $927 Medicare rate · typically $335–$1,173
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,167
About the fair price
about $89 over the fair price · 1.3× Medicare
Medicare pays $927 Fair price $1,078 This hospital $1,167 Cash price $1,432 Hospital's list price $1,591

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

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

Cheapest $139 Priciest $1,167

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

A fair price for a Upper endoscopy with biopsy is about $1,078 (about 1.2× the $927 Medicare rate). Kuakini Medical Center charges insurers about $1,167, or about $1,432 in cash — about the fair price. Located in Honolulu, HI.

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✓ Humana✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCigna

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 $456 - $1,158 49%
Humanamajor $1,111 120%
Kaiser Permanentemajor $139 - $1,352 15%
Devoted Health $1,167 126%
WellCare $945 - $1,167 102%
+ 6 smaller / regional plans $945 - $3,935

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Facility Profile & Credentials

  • Address: 347 North Kuakini Street, Honolulu, HI 96817
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals