Upper endoscopy with biopsy
Facility: Mercyone North Iowa Medical Center
Billing Code: 43239 (CPT)
Highest price of the 9 IA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Upper endoscopy with biopsy is about $875 (about 0.9× the $927 Medicare rate). Mercyone North Iowa Medical Center charges insurers about $927, or about $17,157 in cash — about the fair price. Located in Mason City, IA.
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
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 | $977 | 105% |
| Blue Cross Blue Shieldmajor | $927 - $968 | 100% |
| Aetnamajor | $958 | 103% |
| Kaiser Permanentemajor | $927 | 100% |
| Ambetter (Centene) | $1,642 | 177% |
| Oscar Health | $1,289 | 139% |
| + 11 smaller / regional plans | $70 - $1,965 |
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.
Other Procedures at Mercyone North Iowa Medical Center
Compare: Upper endoscopy with biopsy at other IA hospitals
- Waverly Health Center · Waverly $115
- Mahaska Health Partnership · Oskaloosa $115
- Guthrie County Hospital · Guthrie Center $117
- Story County Hospital · Nevada $124
- Cass County Memorial Hospital · Atlantic $127
- Clarke County Hospital · Osceola $142
- Virginia Gay Hospital · Vinton $159
- Winnmed · Decorah $164
Insurance negotiated median for the same procedure, sorted lowest first.