CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$90
about 0.1× the $927 Medicare rate · typically $78–$726
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $9 over the fair price · 0.1× Medicare
Medicare pays $927 Fair price $90 This hospital $99 Hospital's list price $428

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Lowest price of the 9 ID hospitals we have prices for — a strong deal.

Cheapest $99 Priciest $284

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Upper endoscopy with biopsy is about $90 (about 0.1× the $927 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $99 — about the fair price. Located in Boise, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $57 - $960 6%
Blue Cross Blue Shieldmajor $57 - $960 6%
Aetnamajor $57 - $989 6%
Cignamajor $57 - $12,650 6%
Humanamajor $57 - $228 6%
Kaiser Permanentemajor $137 15%
Ambetter (Centene) $99 11%
Clover Health $57 6%
Dean Health Plan $169 18%
GEHA $148 16%
Health Net $99 - $229 11%
HealthPartners $99 11%
Meridian $57 - $99 6%
Moda Health $132 - $1,902 14%
Molina $99 - $2,311 11%
PacificSource $131 - $176 14%
Paramount $99 - $169 11%
Presbyterian $57 - $99 6%
Priority Health $12,650 1365%
SelectHealth $132 - $1,591 14%
Tufts Health Plan $99 11%
WellMed $57 6%
WellSense $99 11%
+ 355 smaller / regional plans $54 - $12,650
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals