CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Morris Hospital & Healthcare Centers

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,390
about 1.5× the $927 Medicare rate · typically $984–$2,321
modeled estimate · not a bill or quote
What this hospital charges insurers
$972
Below the fair price — a good deal
about $418 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $1,390 This hospital $972 Cash price $266 Hospital's list price $1,105

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 $972

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 $1,390 (about 1.5× the $927 Medicare rate). Morris Hospital & Healthcare Centers charges insurers about $972, or about $266 in cash — below the fair price — a good deal. Located in Morris, IL.

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✓ Cigna HumanaKaiser 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 $807 - $972 87%
Blue Cross Blue Shieldmajor $477 - $530 51%
Aetnamajor $678 - $991 73%
Cignamajor $62 7%
Ambetter (Centene) $774 84%
+ 4 smaller / regional plans $497 - $1,001
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 150 W High St, Morris, IL 60450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals