CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Lukes Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$455
about 0.5× the $927 Medicare rate · typically $314–$697
modeled estimate · not a bill or quote
What this hospital charges insurers
$435
About the fair price
about $20 under the fair price · 0.5× Medicare
Medicare pays $927 Fair price $455 This hospital $435 Cash price $914 Hospital's list price $1,143

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 $435

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 $455 (about 0.5× the $927 Medicare rate). St Lukes Hospital charges insurers about $435, or about $914 in cash — about the fair price. Located in Cedar Rapids, IA.

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 $130 - $2,334 14%
Blue Cross Blue Shieldmajor $126 - $887 14%
Aetnamajor $124 - $1,903 13%
Cignamajor $331 36%
Humanamajor $130 - $913 14%
Amerigroup $825 89%
HealthPartners $289 - $1,487 31%
Molina $126 - $887 14%
+ 2 smaller / regional plans $130 - $913

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Facility Profile & Credentials

  • Address: 1026 A Ave Ne, Cedar Rapids, IA 52402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals