CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mercy Medical Center - Cedar Rapids

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$483
about 0.5× the $927 Medicare rate · typically $236–$735
modeled estimate · not a bill or quote
What this hospital charges insurers
$507
About the fair price
about $24 over the fair price · 0.5× Medicare
Medicare pays $927 Fair price $483 This hospital $507 Cash price $1,489 Hospital's list price $2,482

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 $507

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 $483 (about 0.5× the $927 Medicare rate). Mercy Medical Center - Cedar Rapids charges insurers about $507, or about $1,489 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.

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 $118 - $3,329 13%
Blue Cross Blue Shieldmajor $249 - $1,749 27%
Aetnamajor $319 - $2,121 34%
Humanamajor $117 - $3,263 13%
Amerigroup $149 - $850 16%
HealthPartners $442 - $2,040 48%
Molina $118 - $4,161 13%
+ 5 smaller / regional plans $115 - $3,042
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 10Th Street Se, Cedar Rapids, IA 52403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals