CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Guthrie County Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$288
about 0.3× the $927 Medicare rate · typically $121–$1,395
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
Below the fair price — a good deal
about $171 under the fair price · 0.1× Medicare
Medicare pays $927 Fair price $288 This hospital $117 Cash price $1,084 Hospital's list price $1,084

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 6 of 8 other IA hospitals charge more for the same procedure.

Cheapest $115 Priciest $178

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 $288 (about 0.3× the $927 Medicare rate). Guthrie County Hospital charges insurers about $117, or about $1,084 in cash — below the fair price — a good deal. Located in Guthrie Center, IA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $249 27%
Aetnamajor $115 - $1,084 12%
Ambetter (Centene) $115 12%
HealthPartners $115 - $262 12%
+ 2 smaller / regional plans $115
Excludes 2 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

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Facility Profile & Credentials

  • Address: 710 North 12Th Street, Guthrie Center, IA 50115
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals