CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: West Suburban Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$962
about 1.0× the $927 Medicare rate · typically $949–$1,355
modeled estimate · not a bill or quote
What this hospital charges insurers
$977
About the fair price
about $15 over the fair price · 1.1× Medicare
Medicare pays $927 Fair price $962 This hospital $977

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 $977

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 $962 (about 1.0× the $927 Medicare rate). West Suburban Medical Center charges insurers about $977 — about the fair price. Located in Oak 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 $2,058 - $2,256 222%
Blue Cross Blue Shieldmajor $948 - $977 102%
Aetnamajor $977 - $1,100 105%
Cignamajor $977 - $2,430 105%
Humanamajor $948 - $977 102%
Ambetter (Centene) $977 105%
Oscar Health $997 108%
WellCare $977 105%
+ 4 smaller / regional plans $977 - $2,430

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Facility Profile & Credentials

  • Address: 3 Erie Court, Oak Park, IL 60302
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals