CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: South Shore Hospital

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$998
about 1.1× the $927 Medicare rate · typically $963–$2,093
modeled estimate · not a bill or quote
What this hospital charges insurers
$972
About the fair price
about $26 under the fair price · 1.0× Medicare
Medicare pays $927 Fair price $998 This hospital $972 Cash price $1,965 Hospital's list price $2,807

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 $998 (about 1.1× the $927 Medicare rate). South Shore Hospital charges insurers about $972, or about $1,965 in cash — 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $972 - $1,800 105%
Aetnamajor $972 - $1,210 105%
Cignamajor $1,825 197%
Humanamajor $608 - $1,210 66%
+ 1 smaller / regional plan $972
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 8012 South Crandon Avenue, Chicago, IL 60617
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals