CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Adair County Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$252
about 0.3× the $927 Medicare rate · typically $132–$1,245
modeled estimate · not a bill or quote
What this hospital charges insurers
$281
About the fair price
about $29 over the fair price · 0.3× Medicare
Medicare pays $927 Fair price $252 This hospital $281 Cash price $2,676 Hospital's list price $3,568

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 $281

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 $252 (about 0.3× the $927 Medicare rate). Adair County Memorial Hospital charges insurers about $281, or about $2,676 in cash — about the fair price. Located in Greenfield, IA.

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✓ Aetna CignaHumanaKaiser 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 $115 - $3,860 12%
Blue Cross Blue Shieldmajor $273 - $2,157 29%
Aetnamajor $1,502 - $3,136 162%
GEHA $2,194 - $4,584 237%
+ 3 smaller / regional plans $207 - $4,053
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 609 Se Kent, Greenfield, IA 50849
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals