CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mary Greeley Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$646
about 0.7× the $927 Medicare rate · typically $482–$1,260
modeled estimate · not a bill or quote
What this hospital charges insurers
$880
Above the fair price
about $234 over the fair price · 0.9× Medicare
Medicare pays $927 Fair price $646 This hospital $880

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $115 Priciest $880

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

A fair price for a Upper endoscopy with biopsy is about $646 (about 0.7× the $927 Medicare rate). Mary Greeley Medical Center charges insurers about $880 — above the fair price. Located in Ames, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $646. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Humana CignaKaiser 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 $880 - $898 95%
Blue Cross Blue Shieldmajor $263 - $898 28%
Aetnamajor $880 95%
Humanamajor $924 100%
Molina $855 - $898 92%
+ 1 smaller / regional plan $855
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1111 Duff Avenue, Ames, IA 50010
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals