CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Nell J Redfield Memorial Hospital

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 43239
Insurance Median: $603
Cash Discount Price: $929
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Nell J Redfield Memorial Hospital is $603. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $929. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 0.65x the Medicare baseline. Located in 150 North 200 West, Malad City, ID.

Cash / Self-Pay

$929

Average discount available for prompt cash payment at this facility.

Insurance Median

$603

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$926.63

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $926.63 (100%)

Cash / Self-Pay: $929 (100%)

Insurance Median: $603 (65%)

Cash: $929 (100% of Medicare)

Ins. Median: $603 (65% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $926.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Bc Comm - All Other Plans	$51 - $1,181	6%
Aetna	$116 - $988	13%
Bc Mcr Adv	$116 - $609	13%
Choicecare Mcr Adv	$116 - $609	13%
Regence Bs Mcr	$116 - $602	13%
UnitedHealthcare	$116 - $1,024	13%
Pacificsource Mcr Adv - All Plans	$119 - $621	13%
Brightpath Select Hlth - All Plans	$233 - $1,084	25%
Choicecare Ppo - All Other Plans	$267 - $1,024	29%
Regence Bs Comm - All Other Plans	$267 - $1,145	29%
University Of Ut - All Plans	$267 - $964	29%
Town & Country - All Plans	$638 - $1,024	69%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $929.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 43239.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Nell J Redfield Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 43239.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.