CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Carle Hoopeston Regional Health Center

Billing Code: 43239 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$233
about 0.3× the $927 Medicare rate · typically $137–$874
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
Below the fair price — a good deal
about $95 under the fair price · 0.1× Medicare
Medicare pays $927 Fair price $233 This hospital $138

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 2 charge more and 5 charge less, among the 9 IL hospitals compared.

Cheapest $82 Priciest $151

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 $233 (about 0.3× the $927 Medicare rate). Carle Hoopeston Regional Health Center charges insurers about $138 — below the fair price — a good deal. Located in Hoopeston, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $138 15%
Humanamajor $972 105%

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Facility Profile & Credentials

  • Address: 701 East Orange Street, Hoopeston, IL 60942
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals