CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mountain View Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$929
about 1.0× the $927 Medicare rate · typically $561–$1,018
modeled estimate · not a bill or quote
What this hospital charges insurers
$892
About the fair price
about $37 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $929 This hospital $892 Cash price $1,463 Hospital's list price $1,463

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $99 Priciest $892

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 $929 (about 1.0× the $927 Medicare rate). Mountain View Hospital charges insurers about $892, or about $1,463 in cash — about the fair price. Located in Idaho Falls, ID.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $892 96%
Blue Cross Blue Shieldmajor $892 - $1,242 96%
Aetnamajor $892 96%
Humanamajor $847 91%
Moda Health $2,006 216%
Molina $892 - $2,006 96%
PacificSource $892 96%
SelectHealth $892 96%
+ 2 smaller / regional plans $892

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Facility Profile & Credentials

  • Address: 2325 Coronado Street, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals