Upper endoscopy with biopsy
Facility: Kossuth Regional Health Center
Billing Code: 43239 (CPT)
Highest price of the 9 IA hospitals we have prices for — worth calling around.
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 $249 (about 0.3× the $927 Medicare rate). Kossuth Regional Health Center charges insurers about $325, or about $1,647 in cash — above the fair price. Located in Algona, 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 $249. 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.
4 of 6 major insurers have a published price at this hospital
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 | $118 - $2,300 | 13% |
| Blue Cross Blue Shieldmajor | $263 - $1,342 | 28% |
| Aetnamajor | $687 - $2,939 | 74% |
| Humanamajor | $115 - $1,163 | 12% |
| Amerigroup | $117 - $3,151 | 13% |
| HealthPartners | $299 - $2,939 | 32% |
| Molina | $1,115 - $3,121 | 120% |
| Sanford Health Plan | $121 | 13% |
| + 2 smaller / regional plans | $121 - $2,576 |
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.
Other Procedures at Kossuth Regional Health Center
Compare: Upper endoscopy with biopsy at other IA hospitals
- Waverly Health Center · Waverly $115
- Mahaska Health Partnership · Oskaloosa $115
- Guthrie County Hospital · Guthrie Center $117
- Story County Hospital · Nevada $124
- Cass County Memorial Hospital · Atlantic $127
- Clarke County Hospital · Osceola $142
- Virginia Gay Hospital · Vinton $159
- Winnmed · Decorah $164
Insurance negotiated median for the same procedure, sorted lowest first.