CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Saint Anthony Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,238
about 1.3× the $927 Medicare rate · typically $953–$1,953
modeled estimate · not a bill or quote
What this hospital charges insurers
$977
Below the fair price — a good deal
about $261 under the fair price · 1.1× Medicare
Medicare pays $927 Fair price $1,238 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 $1,238 (about 1.3× the $927 Medicare rate). Saint Anthony Hospital charges insurers about $977 — below the fair price — a good deal. Located in Chicago, 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 $970 - $1,067 105%
Blue Cross Blue Shieldmajor $977 105%
Aetnamajor $977 105%
Cignamajor $977 - $1,453 105%
Humanamajor $977 105%
HealthLink $1,437 155%
+ 2 smaller / regional plans $977

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Facility Profile & Credentials

  • Address: 2875 West 19Th Street, Chicago, IL 60623
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals