CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: St Lukes Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$607
about 0.7× the $927 Medicare rate · typically $463–$859
modeled estimate · not a bill or quote
What this hospital charges insurers
$435
Below the fair price — a good deal
about $172 under the fair price · 0.5× Medicare
Medicare pays $927 Fair price $607 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 $607 (about 0.7× the $927 Medicare rate). St Lukes Regional Medical Center charges insurers about $435, or about $914 in cash — below the fair price — a good deal. Located in Sioux City, 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 - $2,502 14%
Blue Cross Blue Shieldmajor $126 - $932 14%
Aetnamajor $124 - $2,292 13%
Cignamajor $331 36%
Humanamajor $130 - $959 14%
Amerigroup $830 90%
HealthPartners $289 - $1,400 31%
Molina $126 - $932 14%
+ 4 smaller / regional plans $130 - $1,965

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Facility Profile & Credentials

  • Address: 2720 Stone Park Boulevard, Sioux City, IA 51104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals