CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Loyola University Medical Center

Billing Code: 43239 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,117
about 1.2× the $927 Medicare rate · typically $957–$1,680
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,075
About the fair price
about $42 under the fair price · 1.2× Medicare
Medicare pays $927 Fair price $1,117 This hospital $1,075 Cash price $790 Hospital's list price $3,434

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 $1,075

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 $1,117 (about 1.2× the $927 Medicare rate). Loyola University Medical Center charges insurers about $1,075, or about $790 in cash — about the fair price. Located in Maywood, 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 $1,717 - $5,161 185%
Blue Cross Blue Shieldmajor $909 - $3,619 98%
Aetnamajor $977 - $2,455 105%
Cignamajor $1,007 - $2,115 109%
Humanamajor $512 - $1,000 55%
Meridian $1,114 - $1,432 120%
Molina $1,026 - $1,437 111%
Oscar Health $1,075 116%
WellCare $1,026 111%

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Facility Profile & Credentials

  • Address: 2160 S 1St Avenue, Maywood, IL 60153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals