CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: CHI Health Missouri Valley

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$815
about 0.9× the $927 Medicare rate · typically $367–$1,708
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,056
Above the fair price
about $241 over the fair price · 1.1× Medicare
Medicare pays $927 Fair price $815 This hospital $1,056 Cash price $877 Hospital's list price $1,790

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 $1,056

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 $815 (about 0.9× the $927 Medicare rate). CHI Health Missouri Valley charges insurers about $1,056, or about $877 in cash — above the fair price. Located in Missouri Valley, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $815. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $275 - $2,381 30%
Blue Cross Blue Shieldmajor $627 - $2,356 68%
Humanamajor $275 - $868 30%
Ambetter (Centene) $280 - $885 30%
Amerigroup $289 - $1,088 31%
Medica $275 - $2,381 30%
Molina $492 - $1,109 53%
+ 9 smaller / regional plans $275 - $2,381
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 631 N 8Th St, Missouri Valley, IA 51555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals