CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Swedish Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,336
about 1.4× the $927 Medicare rate · typically $1,013–$2,332
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,291
About the fair price
about $45 under the fair price · 1.4× Medicare
Medicare pays $927 Fair price $1,336 This hospital $1,291

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 $1,291

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 $1,336 (about 1.4× the $927 Medicare rate). Swedish Hospital charges insurers about $1,291 — about the fair price. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $1,546 - $1,729 167%
Blue Cross Blue Shieldmajor $342 - $1,291 37%
Aetnamajor $972 - $1,458 105%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 5145 N California Ave, Chicago, IL 60625
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals