CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Jones Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$279
about 0.3× the $927 Medicare rate · typically $147–$724
modeled estimate · not a bill or quote
What this hospital charges insurers
$263
About the fair price
about $16 under the fair price · 0.3× Medicare
Medicare pays $927 Fair price $279 This hospital $263 Cash price $856 Hospital's list price $1,070

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 $263

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 $279 (about 0.3× the $927 Medicare rate). Jones Regional Medical Center charges insurers about $263, or about $856 in cash — about the fair price. Located in Anamosa, 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 - $435 14%
Blue Cross Blue Shieldmajor $126 - $310 14%
Aetnamajor $124 - $403 13%
Cignamajor $331 36%
Humanamajor $124 13%
HealthPartners $289 31%
+ 2 smaller / regional plans $124 - $130

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 1795 Highway 64 East, Anamosa, IA 52205
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals