CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Lutheran Hospital of Indiana

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 43239
  • Insurance Median: $361
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Lutheran Hospital of Indiana is $361. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 0.39x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$361

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$926.63

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $926.63 (100%)
Cash / Self-Pay: $197 (21%)
Insurance Median: $361 (39%)
Cash: $197 (21% of Medicare)
Ins. Median: $361 (39% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $926.63 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Ky Work Comp $83 - $2,868 9%
Amish Aid $99 - $3,414 11%
Lutheran Preferred Network $99 - $6,828 11%
Self Pay $99 - $3,414 11%
Cigna $106 - $4,131 11%
One Call Care Diagnostics $116 13%
Physicians Health Plan Of Northern Indiana $130 - $4,493 14%
Aetna $132 - $5,417 14%
Lutheran Preferred $132 - $1,144 14%
Sagamore $150 - $6,157 16%
Encore Ppo $161 - $5,565 17%
Lutheran Network $164 - $5,690 18%
Multiplan $240 - $9,445 26%
Prime Health Services $247 - $8,535 27%
Encore Health Network $270 - $10,242 29%
Advantage Health Solutions $273 - $9,445 29%
Allied Benefit Systems $296 - $10,242 32%
Evolutions $296 - $10,242 32%
Blue Cross Blue Shield $329 - $3,944 36%
Veterans Eval Services $329 - $331 36%
UnitedHealthcare $850 - $6,759 92%
Tricare $912 98%
Humana $944 - $2,274 102%
Iu Health Plan $944 102%
Managed Health Services $944 - $2,274 102%
Medicare (plans) $944 102%
Department Of Veterans Affairs $960 104%
Node Hospice Non Par Agree $960 104%
Node Va $960 104%
Node Devoted Health Mcr Adv $963 104%
In Dept Of Correction $998 108%
Node Pphp Mcr Adv $1,008 109%
Us Department Of Labor $1,200 130%
Lutheran Advanced Network $1,439 155%
Node Lutheran Network $1,439 - $1,679 155%
Node Lutheran Preferred Fixed 2 $1,439 155%
Align Network $1,535 166%
Encore Work Comp In $1,727 186%
Care Source $2,274 245%
Medicaid / KanCare $2,274 245%
Node Encore Kba Epo $2,303 249%
Php Freedom Network $2,851 308%
Node Encore Kba Ppo $2,879 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals