CMS Price Transparency Data
Upper endoscopy with biopsy
Facility: Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Billing Code: 43239 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$848
about 0.9× the $927 Medicare rate · typically $398–$1,462
modeled estimate · not a bill or quote
Medicare pays $927 Fair price $848 Cash price $205 Hospital's list price $341
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 | $989 | 107% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Compare: Upper endoscopy with biopsy at other IL hospitals
- Carle Richland Memorial Hospital · Olney $82
- Sarah Bush Lincoln Health Center · Mattoon $128
- Kirby Medical Center · Monticello $130
- Washington County Hospital · Nashville $130
- Clay County Hospital · Flora $134
- Carle Eureka Hospital · Eureka $138
- Carle Hoopeston Regional Health Center · Hoopeston $138
- Sarah D Culbertson Memorial Hospital · Rushville $151
Insurance negotiated median for the same procedure, sorted lowest first.