CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Davis County Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$232
about 0.3× the $927 Medicare rate · typically $125–$1,171
modeled estimate · not a bill or quote
What this hospital charges insurers
$196
Below the fair price — a good deal
about $36 under the fair price · 0.2× Medicare
Medicare pays $927 Fair price $232 This hospital $196 Cash price $853 Hospital's list price $853

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 $196

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 $232 (about 0.3× the $927 Medicare rate). Davis County Hospital charges insurers about $196, or about $853 in cash — below the fair price — a good deal. Located in Bloomfield, 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 $263 - $309 28%
Aetnamajor $115 12%
Amerigroup $117 - $879 13%
Molina $874 94%
+ 9 smaller / regional plans $115 - $870
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 509 North Madison Street, Bloomfield, IA 52537
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals