CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Loyola Gottlieb Memorial Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,137
about 1.2× the $927 Medicare rate · typically $977–$1,635
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,026
About the fair price
about $111 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,137 This hospital $1,026 Cash price $652 Hospital's list price $3,434

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $82 Priciest $1,026

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

A fair price for a Upper endoscopy with biopsy is about $1,137 (about 1.2× the $927 Medicare rate). Loyola Gottlieb Memorial Hospital charges insurers about $1,026, or about $652 in cash — about the fair price. Located in Melrose Park, IL.

What each insurance company pays

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

5 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 $1,717 - $1,968 185%
Blue Cross Blue Shieldmajor $909 - $2,390 98%
Aetnamajor $977 - $3,266 105%
Cignamajor $831 - $1,463 90%
Humanamajor $512 - $1,000 55%
Ambetter (Centene) $1,026 111%
Meridian $989 - $1,134 107%
Molina $989 - $1,222 107%
Oscar Health $1,075 116%
WellCare $1,026 111%
Government programs also on file: Military & VA.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 701 West North Ave, Melrose Park, IL 60160
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals